,
DEPARTMENT
OF
LABOR
AND
INDUSTRY
[Employers: This is a sample employee notice employers can use to inform their employees about earned sick
and safe time as required under Minnesota Statutes § 181.9447, subdivision 9 . Instructions for completing this
notice are in brackets. Delete all instructions before providing this to the employee.]
Earned sick and safe time employee notice
Employees in Minnesota are entitled to earned sick and safe time, a form of paid leave. Employees must accrue
at least one hour of earned sick and safe time for every 30 hours they work, up to at least 48 hours in a year. [If
you are using a more generous accrual system or a front‐loading system, edit the previous sentence and insert
the applicabl e system for the employee who will receive this notice.] A year for purposes of the employee’s
earned sick and safe time accrual is: [Note here how you define the accrual or benefit year for the employee.
Examples include the calendar year, year by work anniversary or another 12‐month period.]
The earned sick and safe time hours the employee has available, as well as those that have been used in the
most recent pay period, must be indicated on the employee’s earnings statement that they receive at the end of
each pay peri
od. Earned sick and safe time must be paid at the same hourly rate em ployees earn from
employment. Employees are not required to seek or find a replacement for their shift to use earned sick and
safe time. They may use earned sick and safe ti
me for all or part of a shift, depending on their need.
Earned sick and safe time can be used for:
an employee’s mental or physical illness, treatment or preventive care;
the mental or physical illness, treatment or preventiv e care of an employee’s family member;
absence due to domestic abuse, sexual assault or stalking of an employee or their family member;
closure of an employee’s workplace due to weather or public emergency or closure of their f amily
member’s school or care facility due to weather or public emergency; and
when determined by a health authority or health care professional that an employee or their family
member is at risk of infecting others with a communicable disease.
Notifying employer, documentation
An employer can require their employees to provide up to seven days of advance notice when possible (for
example, when an employee has a medical appointment scheduled in advance) before using sick and safe time.
An employer can also require their employees to provide certain documentation regarding the reason for their
use of earne
d sick and safe time if they use it for more than three consecutive days.
[The following is an example of an employer policy for employees to provide notice before using earned sick and
safe time. Edit the following text to match your company’s policy.] If an employee plans to use earned sick and
safe time for an appointment, preventive care or another permissible reason they know of in advance, inform
[name or position] by [phone, email or other communication] as far in advance as possible, but at least [number