940 CMR, § 20.02

Current through Register 1533, October 25, 2024

Section 20.02 - Sufficient Certification

(1) Certification shall be sufficient if it states in writing:

(a) the date on which the leave will be taken;

(b) the duration of the leave;

(c) the purpose for requesting the leave;

(d) the employee's signature.

(2) The following certification form may be used by employers:

Employee's Certification I certify that on _______________ I will/did take ______ hours of leave for the following purpose: __ to participate in school activities directly related to the educational advancement of a son or daughter __to accompany the son or daughter of the employee to routine medical or dental appointments such as check-ups or vaccinations __to accompany an elderly relative to routine medical or dental appointments or appointments for other professional services related to the elder's care Employee's Signature:________________________ Date:_______________________

940 CMR, § 20.02