Application for Benefits Clause Samples
The "Application for Benefits" clause outlines the process by which an individual or entity formally requests benefits under a policy, plan, or agreement. Typically, this clause specifies the required forms, documentation, and procedures that must be followed to submit a valid application, such as providing proof of eligibility or completing specific paperwork within a set timeframe. Its core practical function is to ensure that all parties understand the necessary steps to access benefits, thereby streamlining the process and reducing the risk of delays or disputes over eligibility.
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Application for Benefits. To receive sick leave from the Bank, an eligible employee must complete a sick leave donation form and submit the completed form to Human Resources. Employees are required to provide medical documentation of their eligibility. Updated documentation of the serious medical condition must be provided by the employee upon request by Human Resources.
Application for Benefits. Requests for short-term leaves shall be in writing, upon the appropriate form prescribed and provided by the District, and shall be filed with the unit member's supervisor and the appropriate manager five (5) days in advance of the intended leave (except in emergency situations), unless otherwise stated by the provisions of the specific leave.
Application for Benefits. Unit members shall schedule their vacations with the prior approval of the immediate supervisor and the appropriate manager. In cases of emergency or unusual circumstances the supervisor/manager may waive the requirement of prior approval. All requests for vacation shall be made in writing to the immediate supervisor, on the form prescribed by the District. In cases where the vacation request is for more than five (5) days, the unit member shall endeavor to provide the supervisor with at least ten (10) working days’ notice in advance of the vacation. If a response is not received within five (5) working days of the request, the unit member shall have the right to discuss the request with the next level supervisor. If the vacation request is denied by the unit member’s immediate supervisor, the unit member may request that the reason for the denial be in writing. In the case of denial, the unit member shall have the right to discuss the vacation denial with the next level of supervision for the purpose of reconsideration. If the next level supervisor also denies the request, said unit member may request that the reason for the denial also be in writing. Vacation may be taken in increments of fifteen (15) minutes or more. The District shall be held harmless for vacation denials where the unit member has failed to secure vacation approval prior to making travel commitments. Any accumulated compensatory time off shall be deducted prior to the use of vacation leave.
Application for Benefits a. A unit member shall report an absence of any duration to his/her immediate supervisor, or supervisor's designee prior to or during the first
(1) notice to the unit member's supervisor or designee of the unit member's intent to be off consecutive days shall meet the requirements for notification for the entire period absent if the estimated duration of the absence is specified at the time of initial notice. Changes in the estimated duration of the absence shall be reported to the immediate supervisor as soon as possible. A unit member in a Maintenance & Operations classification shall report an absence of any duration to his/her immediate supervisor, or supervisor's designee, in accordance with the timelines below unless an emergency makes notification impossible. First Shift: Must report absence no later than the first fifteen (15) minutes of the shift start time; Second Shift: Must report absence by 2:00 p.m. on the day the shift begins; Third Shift: Must report absence by 7:00 p.m. on the day the shift begins. If a substitute is working for the Maintenance & Operations unit member in his/her absence, and the unit member returns to work without notifying the appropriate supervisor, the unit member will be sent home for the day. The timesheet will be posted as vacation leave for the first occurrence during the fiscal year, and marked as unauthorized leave without pay for any subsequent occurrence.
b. All requests for sick leave shall be in writing upon the appropriate District form, and shall be filed with the immediate supervisor within five (5) working days of the unit member’s return to work. In the case of a prolonged absence, a sick leave form shall be filed with the supervisor for each time reporting period.
c. ▇▇▇▇ leave not reported on the appropriate form following the unit member’s return to work shall be considered undocumented sick leave and the unit member will be charged the unreported time as leave without pay. The supervisor shall ask the unit member for their sick leave form prior to posting the unit member’s absence as leave without pay.
d. A physician's statement shall be required on the District's prescribed form or upon the physician's official stationery for leaves of duration greater than five (5) days. The physician's statement shall include the date on which the health condition began and a statement that the unit member is unable to perform her/his assigned duties. In cases of prolonged absences, the physician’s statement shall...
Application for Benefits. A unit member shall report an absence of any duration to his/her immediate supervisor, or supervisor's designee prior to or during the first working hour of the unit member's workday unless an emergency makes notification impossible. One
Application for Benefits. To be considered for STD benefits, employees who are absent from work after five (5) consecutive work days to ninety (90) consecutive work days due to illness or injury must submit a medical provider’s statement to MPS’ Leave Coordinator in the Total Compensation Division that includes the following information:
a. Confirmation that the employee is under the care of a medical provider.
b. Diagnosis and nature of care being provided.
▇. ▇▇▇▇ of onset of illness or injury.
d. Dates that the employee was seen for the current condition.
e. Whether or not the employee is totally disabled and incapable of working.
f. Expected date of return to work, if known.
Application for Benefits. All requests for leave shall be in writing, upon the appropriate form prescribed and provided by the District, with all necessary documentation attached, such as physician's statement of incapacity. Requests shall be submitted to the immediate supervisor ten (10) days prior to the beginning date of the leave unless extenuating circumstances don’t permit advance notification.
Application for Benefits. An employee who is unable to work due to a serious health condition, may apply for disability benefits by submitting to Human Resources: 1) certification from a licensed health care provider required by the Employer; and 2) disability insurance forms required by the carrier. These documents are available in Human Resources and must be turned in within one business day after the visit to the health care provider and no later than the tenth (10th) calendar day following the employee’s last day worked in order for the employee to be eligible for disability benefits. These time periods may be waived upon the employee providing convincing proof to Human Resources that delay in submitting required documents was beyond the employee's control. An employee on disability leave may apply for an extension of the leave by contacting his/her department and Human Resources the same date the employee is seen by the health care provider, if possible, or by 8:30 a.m. on the next business day following the appointment. Written certification from the health care provider must be delivered to Human Resources within three business days of the appointment. It is the responsibility of the employee to provide the required documents within the specified time frames in order to maintain eligibility for benefits. It is the responsibility of the employee to comply with departmental notice requirements regarding absences from work. Failure to keep the department properly and timely informed of absences shall be just cause for disciplinary action.
Application for Benefits. An Employee may make application to the University for pregnancy leave commencing at any time during a period of ten (10) weeks immediately preceding the specified week of birth. Application should also be made at the same time to the Employment Insurance Commission so that the employment benefits may commence at the end of the two (2) week waiting period. A claimant for benefits under this plan must sign an undertaking with the University on the prescribed form (included in this Appendix "B") providing that:
Application for Benefits. An employee who wishes to apply for benefits under any of the Benefit Plans is required to complete, or have completed, at his or her own cost all the necessary documentation including Attending Physician’s Statement.