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

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. 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 submit via the District approved timekeeping system within five (5) days for any remaining leave taken and not covered under previous applications.

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 following the occurrence unless the nature of the injury makes notification impossible. The employee shall submit to his/her immediate supervisor, supervisor separate applications for leave, 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 submit via the District approved timekeeping system within five (5) days for any remaining leave taken and not covered under previous applications.