Bristol County Sheriff's Office
 

Illness Certification Form:

The Illness Certification Form may be downloaded, printed, and completed by your medical provider.

Click this link below to download a PDF file of the Illness Certification Form:

3-26-15 Illness Certification Form (.pdf)

 
 

Employee Verification Regarding Authorized Use of Earned Sick Time:

Under the Massachusetts Earned Sick Time Law (M.G.L. c. 149, § 148C), employers are permitted to ask employees to verify that an instance of sick leave of any length was used for an authorized purpose under the law.

If a medical note is not required, each employee must complete and submit the form entitled “Employee Verification Regarding Authorized Use of Earned Sick Time.” This form requires that each employee certify that he/she used sick leave for an authorized purpose under the law.

Click this link below to download a PDF file of the Employee Verification Regarding Authorized Use of Earned Sick Time:

Employee Verification Regarding Authorized Use of Earned Sick Time (.pdf)

 
 
 
We encourage employees with questions regarding the New Sick Leave Law to visit the Attorney Generals website at http://www.mass.gov/ago
 
 

 

 


For website related questions or comments, email the Webmaster: jeremycorriveau@bcso-ma.org
Bristol County Sheriff's Office Address: 400 Faunce Corner Road, Dartmouth, MA 02747 Phone: 508.995.6400 Web: www.bcso-ma.us