Certification by Physician i. The SLB Committee shall require a physician’s certification to verify need for SLB hours and attesting to the individual’s incapacity to perform assigned duties. This shall accompany the SLB Request Form found in the Master Agreement (Appendix F-2).
Certification by Physician. A medical certificate signed by a licensed Florida physician may be required by an employee's division head to substantiate a request for sick leave when:
Certification by Physician. If the amount of sick leave used is in excess of three
Certification by Physician. 1. The Committee shall require a physician’s certification to verify the need for Sick Leave Bank hours.
Certification by Physician a. The Sick Leave Bank Committee shall require certification by a physician or the District Employee Assistance Program to verify need for Sick Leave Bank days. The certification must include diagnosis, prognosis, treatment and anticipated date of return.
Certification by Physician. Describe the serious health condition1giving rise to the request by the employee for extended sick leave. (Attach Additional Pages As Necessary) Date the serious health condition commenced/will commence. Probable duration of the serious health condition (approximate date of return to work). Medical facts, including the recommendation of the physician, concerning continuation in the current work assignment. (Attach Additional Pages As Necessary) Print/Type Name of Physician Signature of Physician Date Please return to:Office Of The Business Manager Community High School Dist. 000 0000 Xxxx Xxxx Xxxx Lake Villa, IL 60046
Certification by Physician. For the following reasons, a medical certification signed by a licensed physician may be required by the employee’s department director to substantiate a request for sick leave:
Certification by Physician. Describe the serious health condition1giving rise to the request by the employee for extended sick leave. (Attach Additional Pages As Necessary) Probable duration of the serious health condition (approximate date of return to work). Date the serious health condition commenced/will commence. Medical facts, including the recommendation of the physician, concerning continuation in the current work assignment. (Attach Additional Pages As Necessary) Print/Type Name of Physician Signature of Physician Date Please return to: Office Of The Business Manager Community High School Dist. 117 0000 Xxxx Xxxx Xxxx Xxxx Xxxxx, XX 00000
