Paid sick leave policy: what it is, state rules, and how to set it up
What a paid sick leave policy is, why the state and city where people work matter, and how to set one up in StartEase block by block, with links to the official state sick leave pages.
What is a paid sick leave policy?
A paid sick leave policy pays employees when they are ill, need medical care, or care for a family member who is. Most sick policies are earned by hours worked, for example 1 hour for every 30 hours worked.
Why companies offer it
- Sick people who stay home do not spread illness.
- Many states and cities require it, with their own rules for earning, use, carryover and notice.
- A written policy makes the rule the same for everyone.
What the law says, in short
There is no federal paid sick leave requirement. The U.S. Department of Labor says the Family and Medical Leave Act (FMLA) requires unpaid leave for certain medical situations at covered employers. Paid sick leave rules come from states and cities, so the work location decides them.
State sick leave and this policy
StartEase already tracks paid sick leave by itself for employees in states whose rule is in its rules table. It shows as Paid sick leave (state rule) in your Policies list. You do not need to add a policy for that. Add your own sick policy when you want to give more than the state rule, or cover places it does not.
- See the rule StartEase applies in each state: Paid sick leave: the rules StartEase applies, state by state.
- Find the official page for your state or city: State and city paid sick leave laws: official government pages.
A sick policy you add stays Not confirmed until a payroll admin checks it against the rules for each work location and selects I checked this policy against the rules for these work locations. Changing a rule later clears that check.
How to set up a sick policy in StartEase
- Open Time › Time off and scroll to Policies.
- Under Add a policy, choose Sick, then select Add policy.
- Fill in each block below. The example is a sample "Sick leave" policy: your company chooses its own numbers.
- In Review and turn on, read the summary sentence, ask a payroll admin to confirm the policy for your work locations, and select Turn on this policy.
Basics
The name, the kind of leave, whether it is paid, and what employees read about it. More on this block.

| Box | What it means | In this example |
|---|---|---|
| Policy name | The name employees see when they ask for time off and on their balances. Required. | "Sick leave" |
| Kind of leave | What the leave is for. It picks the help link and the extra checks. It does not change how the balance is counted. Required.
| Sick |
| Pay | Whether the hours are paid. Required.
| Paid |
| Description for employees | Up to 600 characters on My time off: who qualifies and what the leave covers. Keep medical details out. | "For your own illness or care, or to care for a family member. Tell your manager as soon as you can." |
Earning
How the balance grows. Nothing is earned until a payroll is approved. More on this block.

| Box | What it means | In this example |
|---|---|---|
| How it is earned | How the balance grows. Required.
| By hours worked |
| Hours earned | Only for "By hours worked". The hours of leave earned, for example 1. | 1 Earned as people work, so part-time staff earn their share. |
| For every this many hours worked | Only for "By hours worked". For example 30: 1 hour of leave for every 30 hours worked. | 30 1 for every 30 is a common rate. Check your state and city rule. |
| Count overtime hours | Only for "By hours worked". Ticked: overtime hours also earn leave. Unticked: only regular hours do. | Unticked Count overtime if your local rule counts all hours worked. |
| Count paid leave hours | Only for "By hours worked". Ticked: paid PTO and sick hours in the payroll also earn leave. | Unticked |
| Policy year starts | When caps and carryover are counted again. Not shown for unlimited policies.
| On the same date for everyone |
| Month | Only for "On the same date for everyone". January to December. | January |
| Day | Only for "On the same date for everyone". 1 to 31. A day past the end of the month uses the last day. | 1 |
Rules
Waiting periods, negative balances, a yearly use limit and payout at exit. More on this block.

| Box | What it means | In this example |
|---|---|---|
| Waiting periods are counted in | The unit for the two waiting periods below.
| Days from the hire date |
| Before earning starts | Not shown for unlimited policies. Nothing is earned before this. Blank for none. | Blank |
| Before it can be used | Leave can be earned but not taken before this. Blank for none. | Blank |
| Allow a negative balance | Not shown for unlimited policies. Ticked: an employee may borrow ahead of what they have earned. | Unticked |
| Most hours that can be used in a policy year | A yearly limit on hours taken. Blank for no limit. | Blank |
| Pay unused hours in the final paycheck | Not shown for unlimited policies. Ticked: unused hours are paid when someone leaves. Where the work state's rule requires payout, payroll pays it whatever you choose. | Unticked |
Caps
Limits on the balance. Not shown for unlimited policies. More on this block.

| Box | What it means | In this example |
|---|---|---|
| Most hours earned in a policy year | Earning stops for the year at this number. Blank for no cap. | Blank |
| Most hours the balance can hold | Earning pauses while the balance is at the cap and starts again when leave is used. Blank for no cap. | Blank |
| Most hours carried into the next policy year | Hours above this are dropped when a new policy year starts. 0 means nothing carries over. Blank carries everything. | 40 Up to 40 hours roll over to the next year. |
Requests
How employee requests are handled. More on this block.

| Box | What it means | In this example |
|---|---|---|
| Approve employee requests automatically | Ticked: a request that follows the rules is approved at once. Unticked: the Employer or payroll team approves each one. | Ticked Illness is rarely planned, so requests are approved at once. |
| Most calendar days in one request | For example 10. Blank for no limit. | Blank |
| Days of notice an employee must give | For example 3 means the first day must be at least 3 days away. Leave you record yourself is not checked. Blank for none. | Blank |
Employees
Who the policy covers and where each balance starts. More on this block.

| Box | What it means | In this example |
|---|---|---|
| All employees, including people added later | Ticked: everyone is covered, now and later. Unticked: tick each employee in the table. | Ticked |
| Starting balance (hours) | Hours the employee already has, for example from your old system. Blank starts at 0. | Sample balances |
| As of | The date that starting balance is correct. Earning counts from this date, or from the policy's start date if blank. | Blank |
Review and turn on
The last check before employees can use the policy. More on this block.

| Box | What it means | In this example |
|---|---|---|
| Ready, or "N to finish" | Ready means every required box is filled. "2 to finish" means two boxes marked Required are empty. | |
| Check the rules for this work location | Shown for sick, jury duty, parental, weather and custom policies. Local law can set rules for these. | |
| I checked this policy against the rules for these work locations | Sick policies only, payroll team only. Records who checked it and when. Until then employees cannot use it. Changing a rule clears it. | |
| The summary sentence | The policy in one line, for example "Paid. 80 hours a year, spread over each paycheck". Read it before you turn the policy on. | |
| Turn on this policy / Turn off | Turns the policy on for the employees covered, or off. A new policy starts turned off. | |
| Delete this policy | Only while no leave has been recorded on it. After that you can turn it off but not delete it. |
Common questions
Do I need a sick policy if StartEase already tracks state sick leave?
No, not for the state rule itself. Add one only to give more, or for places the rules table does not cover.
Why can't employees use my new sick policy?
It is waiting for a payroll admin to confirm it for your work locations. Until then its status is Not confirmed.
Can I ask for a doctor's note?
Read the official page for each work location first: it says whether and when you may ask for one. Keep medical details out of notes in StartEase.
There is no federal paid sick leave requirement. The U.S. Department of Labor says the Family and Medical Leave Act (FMLA) requires unpaid leave for certain medical situations at covered employers. Paid sick leave rules come from states and cities, so the work location decides them.
Sources (government sites):
StartEase