APPENDIX C - MEDICAL CERTIFICATE Clause Samples

The "APPENDIX C - MEDICAL CERTIFICATE" clause establishes the requirement for a formal medical certificate as part of the agreement or process. Typically, this appendix outlines the specific information that must be included in the certificate, such as the individual's health status, fitness for duty, or confirmation of a medical condition, and may specify who is authorized to issue it (e.g., a licensed physician). By standardizing the format and content of medical certificates, this clause ensures that all parties receive consistent and reliable medical documentation, thereby reducing ambiguity and supporting informed decision-making related to health matters.
APPENDIX C - MEDICAL CERTIFICATE. The Board may request this medical confirmation in accordance with Article C6.
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APPENDIX C - MEDICAL CERTIFICATE. PART 1 I, hereby authorize my Health Care Professional(s) to disclose medical information to my employer,. In order to determine my ability to fulfill my duties as a from a medical standpoint, and whether my medical situation is such that it can support my sustained return to work in the foreseeable future. To this end, I specifically authorize my Health Care Professional(s) to respond to those questions from my employer set out in the medical certificate dated dd mm yyyy for my absence starting on the dd mm yyyy Signature Date Employee ID: Dear Health Care Professional, please be advised that the Employer has an accommodation and return to work program. The parties acknowledge that the employer has an obligation to provide reasonable accommodation to the point of undue hardship, and that the employee has an obligation to cooperate with reasonable accommodation measures. Consistent with this understanding, and with the objective of returning employees to active employment as soon as possible, we would ask the medical professional to provide as full and detailed information as possible. Please return the completed form to the attention of:
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APPENDIX C - MEDICAL CERTIFICATE. I, hereby authorize my Health Care Professional(s) to disclose medical information to my employer,. In order to determine my ability to fulfill my duties as a from a medical standpoint, and whether my medical situation is such that it can support my sustained return to work in the foreseeable future. To this end, I specifically authorize my Health Care Professional(s) to respond to those questions from my employer set out in the medical certificate dated dd mm yyyy for my absence starting on the dd mm yyyy Signature Date Dear Health Care Professional, please be advised that the Employer has an accommodation and return to work program. The parties acknowledge that the employer has an obligation to provide reasonable accommodation to the point of undue hardship, and that the employee has an obligation to cooperate with reasonable accommodation measures. Consistent with this understanding, and with the objective of returning employees to active employment as soon as possible, we would ask the medical professional to provide as full and detailed information as possible. Please return the completed form to the attention of:
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Related to APPENDIX C - MEDICAL CERTIFICATE

  • Medical Certificate 🞏 Absent from Work (first date of absence) 🞏 Not absent from work but requires accommodations (Employee Name) The information supplied will be used in a confidential manner and may assist in creating a return to work plan. I hereby consent to the completion of this form by: (Treating Medical Practitioner’s Name) (Signature of Employee) (Date)

  • Medical Certification (1) The University may require an employee to provide medical certification from a health care provider for FMLA leave without pay when taken for the serious health condition of the employee or the employee's family member. (2) Medical certification may be required to affirm the employee's ability to return to work and perform one or more of the essential functions of the job within the meaning of the Americans with Disabilities Act (ADA), after being absent on FMLA leave.

  • Medical Certificates Where the Employer requests medical certificates the Employer shall pay the costs of such certificates.

  • Physician's Certificate When a female employee applies for pregnancy leave she must provide her supervisor with a certificate from her physician stating that she is pregnant and giving the estimated date of delivery at least two weeks prior to the date she plans to commence the leave. In the case of a female employee who stops working prior to the commencement of her scheduled leave because of a birth, still-birth or miscarriage that happens earlier than the employee was expected to give birth, that employee must, within two weeks of stopping work, give her supervisor: (a) written notice of the date the pregnancy leave began or is to begin, and (b) a certificate from a legally qualified medical practitioner that, (i) states the date of the birth, still-birth or miscarriage and the date the employee was expected to give birth. When a female employee resigns without notifying her supervisor that she is pregnant and she has not applied for pregnancy leave, but within two weeks following her resignation, provides her supervisor with a certificate from her physician stating she was unable to perform her job duties because of a medical condition arising from her pregnancy and giving the estimated or actual delivery date, she shall be entitled to pregnancy leave if it is requested.

  • Initial Certificate Ownership Since the formation of the Trust by the contribution by the Depositor pursuant to Section 2.5, the Depositor has been the sole Certificateholder.