Application for and Approval of Job Incurred Disability Leave With Pay. In order to receive pay for disability leave a nurse must submit a request on the prescribed form to the department head describing the illness or accident and all information required to evaluate the request. The nurse must attach a 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 the County, State Compensation Insurance Fund or the County Workers' Compensation Adjustor has declared the illness or injury compensable under Workers' Compensation Law and has accepted liability on behalf of the County, or the Workers' Compensation Appeals Board has ordered benefits to be paid.
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 receive pay for disability leave a nurse leave, an employee must submit a request on the prescribed form to the department head appointing authority describing the illness or accident and all information required for the department head to evaluate the request. The nurse employee must attach a 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 the County, State Compensation Insurance Fund or the County Workers' Workers Compensation Adjustor has declared the illness or injury compensable under Workers' Workers Compensation Law and has accepted liability on behalf of the County, or the Workers' Workers Compensation Appeals Board has ordered benefits to be paid.
Appears in 4 contracts
Samples: Memorandum of Understanding, Memorandum of Understanding, Memorandum of Understanding