Common use of Application for Industrial Accident and Illness Leave Clause in Contracts

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. 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 formIndustrial Accident Leave Card. Each application shall be accompanied by the treating medical providerphysician’s signed statement, either on the District’s prescribed forms or on the medical providerphysician’s official stationery or appropriate formstationery, specifying 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. Separate applications for leave shall be made to the unit member’s 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 provider‟s signed statement, either on the District’s District‟s prescribed forms or on the medical provider’s provider‟s official stationery or appropriate form, specifying the duration of the leave.