Application for and Approval of Job Incurred Disability Leave With Pay. In order to receive pay for job incurred disability leave a worker must submit a request on the prescribed form to his/her department head describing the illness or accident and all information required for the department head to evaluate the request. The worker must attach a physician's statement certifying to the nature, extent, and probable period of illness or disability. No job incurred disability leave with pay may be granted until after the County, the County Workers Compensation Adjuster or the State Compensation Insurance Fund has declared the illness or injury compensable under the California Workers Compensation Law and has accepted liability.
Appears in 6 contracts
Samples: Memorandum of Understanding, Memorandum of Understanding, Memorandum of Understanding
Application for and Approval of Job Incurred Disability Leave With Pay. In order to receive pay for job incurred disability leave a worker an employee must submit a request on the prescribed form to his/her department head describing the illness or accident and all information required for the department head to evaluate the request. The worker employee must attach to the request a physician's statement from a physician certifying to the nature, extent, and probable period of illness or disability. No job incurred disability leave with pay may be granted until after the County, the County Workers Workers' Compensation Adjuster Adjuster, or the State Compensation Insurance Fund has declared the illness or injury to be compensable under the California Workers Workers' Compensation Law and has accepted liability.
Appears in 5 contracts
Samples: Memorandum of Understanding, Memorandum of Understanding, Memorandum of Understanding
Application for and Approval of Job Incurred Disability Leave With Pay. In order to To receive pay for job incurred disability leave a worker employees must submit a request on the prescribed form to his/her the department head describing the illness or accident and all information required for the department head to evaluate the request. The worker Employees must attach a physician's statement certifying to the nature, extent, extent and probable period of illness or disability. No job incurred disability leave with pay may be granted until after the County, the County Workers County's Workers' Compensation Adjuster Adjuster, or the State Compensation Insurance Fund has declared the illness or injury compensable under the California Workers Workers' Compensation Law and has accepted liability.
Appears in 4 contracts
Samples: Memorandum of Understanding, Memorandum of Understanding, Memorandum of Understanding
Application for and Approval of Job Incurred Disability Leave With Pay. In order to receive pay for job incurred disability leave a worker must submit a request on the prescribed form to his/her department head describing the illness or accident and all information required for the department head to evaluate the request. The worker must attach a physician's statement certifying to the nature, extent, and probable period of illness or disability. No job incurred disability leave with pay may be granted until after the CountyCourt, the County Court Workers Compensation Adjuster or the State Compensation Insurance Fund has declared the illness or injury compensable under the California Workers Compensation Law and has accepted liability.
Appears in 1 contract
Samples: Memorandum of Understanding
Application for and Approval of Job Incurred Disability Leave With Pay. In order to To receive pay for job incurred disability leave a worker an employee must submit a request on the prescribed form to his/her department head describing the illness or accident and all information required for the department head to evaluate the request. The worker employee must attach a physician's statement from a physician certifying to the nature, extent, extent and probable period of illness or disability. No job incurred disability leave with pay may be granted until after the County, the County Workers County's Workers' Compensation Adjuster Adjuster, or the State Compensation Insurance Fund has declared the illness or injury to be compensable under the California Workers Workers' Compensation Law and has accepted liability.
Appears in 1 contract
Samples: Memorandum of Understanding
Application for and Approval of Job Incurred Disability Leave With Pay. In order to receive pay for job incurred disability leave a worker an employee must submit a request on the prescribed form to his/her their department head describing the illness or accident and all information required for the department head to evaluate the request. The worker employee must attach to the request a physician's statement from a physician certifying to the nature, extent, and probable period of illness or disability. No job incurred disability leave with pay may be granted until after the County, the County Workers Workers' Compensation Adjuster Adjuster, or the State Compensation Insurance Fund has declared the illness or injury to be compensable under the California Workers Workers' Compensation Law and has accepted liability.
Appears in 1 contract
Samples: Memorandum of Understanding
Application for and Approval of Job Incurred Disability Leave With Pay. In order to receive pay for job incurred disability leave a worker must submit a request on the prescribed form to his/her department head Court Human Resources describing the illness or accident and all information required for the department head to evaluate evaluation of the request. The worker must attach a physician's statement certifying to the nature, extent, and probable period of illness or disability. No job incurred disability leave with pay may be granted until after the County, Court or the County Court Workers Compensation Adjuster or the State Compensation Insurance Fund has declared the illness or injury compensable under the California Workers Compensation Law and has accepted liability.
Appears in 1 contract
Samples: Memorandum of Understanding
Application for and Approval of Job Incurred Disability Leave With Pay. In order to receive pay for job incurred disability leave a worker an employee must submit a request on the prescribed form to his/her their department head describing the illness or accident and all information required for the department head to evaluate the request. The worker employee must attach a physician's statement certifying to the nature, extent, and probable period of illness or disability. No job incurred disability leave with pay may be granted until after the County, the County Workers Compensation Adjuster or the State Compensation Insurance Fund has declared the illness or injury compensable under the California Workers Compensation Law and has accepted liability.
Appears in 1 contract
Samples: Memorandum of Understanding
Application for and Approval of Job Incurred Disability Leave With Pay. In order to receive pay for job incurred disability leave a worker an employee must submit a request on the prescribed form to his/her department head describing the illness or accident and all information required for the department head to evaluate the request. The worker employee must attach a physician's statement from a physician certifying to the nature, extent, extent and probable period of illness or disability. No job incurred disability leave with pay may be granted until after the County, the County Workers County's Workers' Compensation Adjuster Adjuster, or the State Compensation Insurance Fund has declared the illness or injury to be compensable under the California Workers Workers' Compensation Law and has accepted liability.
Appears in 1 contract
Samples: Memorandum of Understanding