940 CMR 20.00 — Employee leave for certain family obligations

' 940 CMR: OFFICE OF THE ATTORNEY GENERAL 940 CMR 20.00: EMPLOYEE LEA VE FOR CERTAIN FAMILY OBLIGATIONS Section 20.01: In General 20.02: Sufficient Certification 20.03: Timely Certification 20.04: Additional Verification 20.05: Records

940 CMR 20.00 Employee leave for certain family obligations

20.01 In General

20.01: In General An employer may require that a request for leave under M.G .L. c. l 49, § 52D( e) be supported by a certification signed by the employee and stating the reason for the leave. The employee, if required, shall then provide, in a timely manner, such certification to the employer.

20.02 Sufficient Certification

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: D to participate in school activities directly related to the educational advancement of a son or daughter D to accompany the son or daughter of the employee to routine medical or dental appointments such as check- ups or vaccinations D 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:

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Date:

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20.03 Timely Certification

20.03: Timely Certification Employers may request that employees provide a certification at the time the employee gives notice of the need for leave or within two business days thereafter. In the case of unforseen leave, the employee may provide the certification within two business days after the leave was taken, or as soon thereafter as it is reasonably practicable to do so.

20.04 Additional Verification

20.04: Additional Verification Employers may require that employees provide additional information to verify the reason for requesting a leave. The request for additional required information must be reasonable and not unduly burdensome. 12/25/98 (Effective 11/27 /98) - corrected 940 CMR-151

940 CMR: OFFICE OF THE ATTORNEY GENERAL

20.05 Records

20.05: Records An employer requesting that employees provide certifications under the Small Necessities Leave Act shall keep copies of the certifications provided by the employee for a period of no less than two years. Such records shall be available for the inspection by the Attorney General's Office. REGULATORY AUTHORITY 940 CMR 20.00: M.G.L. c. 149, § 52D(e). 12/25/98 (Effective 11127/98) - corrected 940 CMR-152