Application for Industrial Accident and Illness Leave. A unit member shall report to his/her immediate supervisor any incident in the workplace that involves or may involve injury or illness immediately or as soon as possible after the occurrence. Separate applications for leave shall be made to the unit member’s immediate supervisor for each time reporting period only on the District provided leave form. Each application shall be accompanied by the treating medical provider’s signed statement, either on the District’s prescribed forms or on the medical provider’s official stationery or appropriate form, specifying the duration of the leave.
Application for Industrial Accident and Illness Leave. An employee shall report verbally to his/her immediate supervisor any incident in the workplace which involves or may involve injury or illness as soon as possible but not later than twenty-four (24) hours of the occurrence unless the nature of the injury makes notification impossible. The employee shall submit to his/her immediate supervisor, separate applications for leave, for each time reporting period on the District provided Industrial Accident Leave card. Each application shall be accompanied by the treating physician’s signed statement, either on the District’s prescribed form or on the physician’s official form or stationery, specifying the duration of the leave, the diagnosis of the injury or illness and the prognosis for recovery. Not less than three (3) workdays prior to returning from leaves of thirty (30) calendar days or more, employees must provide a written clearance from the attending physician(s) indicating recovery, and fitness to resume a full range of normal duties as determined by the District. Upon return to work, the employee shall file within five (5) days for any remaining leave taken and not covered under previous applications.
Application for Industrial Accident and Illness Leave. A unit member shall report to his/her immediate supervisor any incident in the workplace that involves or may involve injury or illness immediately or as soon as possible after the occurrence.
Application for Industrial Accident and Illness Leave. A unit member shall report to their immediate supervisor any incident in the workplace that involves or may involve injury or illness immediately or as soon as possible after the occurrence. Separate applications for leave shall be made to the unit member’s immediate supervisor for each time reporting period only on the District provided leave form. Each application shall be accompanied by the treating medical provider’s signed statement, either on the District’s prescribed forms or on the medical provider’s official stationery or appropriate form, specifying the unit member’s work limitations and length of time the work limitations are to be in place or the duration of the leave.
Application for Industrial Accident and Illness Leave. A unit member shall report to his/her immediate supervisor any incident in the workplace that involves or may involve injury or illness immediately or as soon as possible after the occurrence. Unless extenuating circumstances exist, this reporting shall take place no later than 24 hours after the incident. Separate applications for leave shall be made to the unit member’s immediate supervisor for each time reporting period only on the District provided leave form. Each application shall be accompanied by the treating medical provider’s signed statement, either on the District’s prescribed forms or on the medical provider’s official stationery or appropriate form, specifying the duration of the leave.
Application for Industrial Accident and Illness Leave. A unit member shall report verbally to their immediate supervisor any incident in the workplace which involves or may involve injury or illness as soon as possible but not later than twenty-four (24) hours of the occurrence unless the nature of the injury makes notification impossible.
