Sick Leave & Doctor's Note Laws by Province in Canada (2026 Guide)
A province-by-province reference on paid and unpaid sick leave entitlements and when an employer can legally require a doctor's note in Canada — with links to every official government source.
Key Takeaways
- Sick leave in Canada is set provincially (or federally for federally regulated workplaces) — there is no single national entitlement
- British Columbia and federally regulated employees have employer-paid sick days; most provinces provide job-protected but unpaid leave
- Several provinces have restricted when an employer can require a doctor's note for short statutory sick leave — Ontario is the clearest example
- A telehealth medical certificate from a licensed physician or nurse practitioner is legally equivalent to one from an in-person visit
- This guide links to every official government source — always confirm the current figure for your situation
How sick leave works in Canada
Canada has no national sick-leave standard. Your entitlement depends on which government regulates your workplace:
- Provincially regulated employees (the large majority) follow their province's employment standards legislation.
- Federally regulated employees (banks, telecoms, interprovincial transport, federal Crown corporations, etc.) follow the Canada Labour Code.
Two questions matter for most people: how many days am I entitled to, and can my employer require a doctor's note. Both are answered by statute, then layered with your employment contract, workplace policy, or collective agreement (which can be more generous, never less).
This article summarizes general rules for information only and is not legal advice. Entitlements change with new legislation. Always confirm the current rule with the official source linked for your jurisdiction.
Sick leave by province (2026)
| Jurisdiction | Governing law | General sick-leave entitlement | Official source |
|---|---|---|---|
| Federal (Canada Labour Code) | Canada Labour Code, Part III | Up to 10 paid medical-leave days per year for federally regulated private-sector employees | canada.ca — medical leave with pay |
| Ontario | Employment Standards Act, 2000 | 3 unpaid, job-protected sick days per year; employers generally cannot require a certificate from a qualified health practitioner for ESA sick leave | ontario.ca — sick leave |
| British Columbia | Employment Standards Act | 5 paid + 3 unpaid sick days per year | gov.bc.ca — sick leave |
| Quebec | Act respecting labour standards (CNESST) | First 2 days of a sickness absence per year may be paid after 3 months' service; further job-protected leave unpaid | cnesst.gouv.qc.ca |
| Alberta | Employment Standards Code | Job-protected unpaid personal & family responsibility leave; long-term illness leave available | alberta.ca — leaves |
| Saskatchewan | Saskatchewan Employment Act | Job-protected unpaid sick leave | saskatchewan.ca — labour standards |
| Manitoba | Employment Standards Code | Job-protected unpaid leave for illness/injury | gov.mb.ca — employment standards |
| Nova Scotia | Labour Standards Code | Short, job-protected unpaid sick leave | novascotia.ca — labour standards |
| New Brunswick | Employment Standards Act | Job-protected unpaid sick leave | www2.gnb.ca — employment standards |
| Newfoundland & Labrador | Labour Standards Act | Job-protected sick/family leave; a limited number of paid days may apply | gov.nl.ca — labour standards |
| Prince Edward Island | Employment Standards Act | A limited number of paid sick days based on length of service, plus unpaid leave | princeedwardisland.ca — employment standards |
Numbers and conditions change with new legislation and depend on factors such as length of service. Treat the table as a starting point and follow the official link to confirm what currently applies to you.
Can your employer require a doctor's note?
This is the most misunderstood part of Canadian sick-leave law. The trend in several provinces has been to limit when an employer can demand a medical certificate for short statutory absences, because routine note-chasing burdens the health system for minor, self-limiting illness.
- Ontario is the clearest example: for the job-protected sick leave provided under the Employment Standards Act, an employer generally cannot require a certificate from a qualified health practitioner (physician or nurse practitioner). See the official ESA sick-leave guidance.
- In other provinces, an employer may still ask for "reasonable" evidence of entitlement — what counts as reasonable varies, and longer absences are treated differently from a single day.
- Workplace policy, contracts, and collective agreements can still require documentation in situations the statute doesn't restrict (for example, longer absences, paid-sick-leave verification, or short-term disability claims).
The practical takeaway: you should not be forced to pay for a note for a one-day illness where the law protects you — but notes still have a legitimate role for longer absences, insurance, accommodation, and return-to-work. For a deeper breakdown of the employer side, see our employer guide to sick notes in Canada and when you do and don't need a note.
Does a telehealth note count?
Yes. A medical certificate is valid based on who signed it, not where the assessment happened. A physician or nurse practitioner licensed with a provincial regulatory college (CPSO, CPSBC, CPSA, CMQ, and the others) can issue a legally equivalent note after a virtual assessment, provided it includes the practitioner's name, licence number, and signature. Nurse practitioners can issue notes in their own right — see can a nurse practitioner write a sick note.
Province-specific resources
If you need a physician-certified note, Medinote connects you with a licensed Canadian doctor by phone, same day, for a flat $55 CAD:
- Online sick note in Ontario
- Online sick note in British Columbia
- Online sick note in Alberta
- Online sick note in Quebec
- Online sick note — all provinces
Bottom line
There is no single answer to "how many sick days do I get in Canada" — it is set by your province or the Canada Labour Code, and whether an employer can demand a note increasingly depends on the type and length of the absence. Use the table above as a map, confirm the current figure with the official government source, and know that if you genuinely need a medical certificate, a licensed telehealth physician can provide one when it is clinically appropriate.
Frequently Asked Questions
It depends on your province and how the leave is governed. Several jurisdictions have restricted when an employer can demand a medical certificate for short absences — Ontario, for example, generally prevents employers from requiring a certificate from a qualified health practitioner for the job-protected sick leave provided under the Employment Standards Act. Employer policies and collective agreements may still request documentation for longer absences. Always confirm against your province's current employment standards and your workplace policy.
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Get an Online Sick NoteThis article is for informational purposes only and does not constitute medical advice. Content reviewed by licensed Canadian physicians. Always consult a healthcare provider for medical decisions.