All polices that cover leave [vacation, sick time, Family and Medical Leave Act (FMLA), maternity leave, short-term and long-term disability] need to be developed together so that it is clear which time is used first, when absences are paid. Currently, there are no legal requirements for paid sick leave. The FMLA does require unpaid sick leave for companies subject to this law (generally, companies with 50 or more employees).
This form is a generic example that may be referred to when preparing such a form for your particular state. It is for illustrative purposes only. Local laws should be consulted to determine any specific requirements for such a form in a particular jurisdiction.