EMPLOYEE'S APPLICATION FOR SICK LEAVE ABSENCE. I hereby apply for sick leave absence and certify that my absence was occasioned by from to inclusive. Nature of Sickness of Accident: Total Days: Date: Employee’s Signature
Appears in 2 contracts
Samples: Collective Bargaining Agreement, Collective Bargaining Agreement
EMPLOYEE'S APPLICATION FOR SICK LEAVE ABSENCE. I hereby apply for sick leave absence and certify that my absence was occasioned by from to inclusive. Nature of Sickness of Accident: Total Days: Date: to Date Employee’s Signature
Appears in 1 contract
Samples: Collective Bargaining Agreement
EMPLOYEE'S APPLICATION FOR SICK LEAVE ABSENCE. I hereby apply for sick leave absence and certify that my absence was occasioned by (sickness) (accident) from to inclusive. Nature of Sickness of Accident: Total Days: Date: Employee’s Signature
Appears in 1 contract
Samples: Collective Bargaining Agreement
EMPLOYEE'S APPLICATION FOR SICK LEAVE ABSENCE. I hereby apply for sick leave absence and certify that my absence was occasioned by (sickness) (accident) from Dated Employee's Signature the undersigned, duly registered and qualified medical practitioner, certify that was under my care for days due to inclusivethe above sickness. Nature of Sickness of Accident: Total Days: Date: Employee’s SignatureDated Signature The application
Appears in 1 contract
Samples: Collective Agreement
EMPLOYEE'S APPLICATION FOR SICK LEAVE ABSENCE. I hereby apply for lor sick leave absence and certify that my absence was occasioned by (sickness) (accident) from to inclusive. Nature of Sickness of Accident: Total Days: Date: Employee’s SignatureDays DATED Signature I the undersigned, duly registered and qualified medical practitioner certify that was care due lo sickness and is fit to return to work duties on regular above application (1) is
Appears in 1 contract
Samples: Collective Agreement
EMPLOYEE'S APPLICATION FOR SICK LEAVE ABSENCE. I hereby apply for sick leave absence and certify that my absence was occasioned by (sickness) (accident) from to inclusive. Nature of Sickness of AccidentTotal Days Employee's Signature I the undersigned, duly registered and qualified medical practitioner certify that was under my care due to sickness and is fit to return to light work duties on regular If duties, state restrictions: Total Days: Date: Employee’s SignatureDATED DECISION ON APPLICATION above application (1) is approved
Appears in 1 contract
Samples: Collective Agreement
EMPLOYEE'S APPLICATION FOR SICK LEAVE ABSENCE. I hereby apply for sick leave absence and certify that my absence was occasioned by (sickness) (accident) from to inclusive. Nature of Sickness of Accident: Total Days: Date: Employee’s Signatureto
Appears in 1 contract
Samples: Collective Bargaining Agreement
EMPLOYEE'S APPLICATION FOR SICK LEAVE ABSENCE. I hereby apply for sick leave absence and certify that my absence was occasioned by (sickness)(accident) from to inclusive. Nature of Sickness of Accident: Total Days: Date: Employee’s days Date Employee Name (print) Employee Signature
Appears in 1 contract
Samples: Collective Agreement
EMPLOYEE'S APPLICATION FOR SICK LEAVE ABSENCE. I hereby apply for sick leave absence and certify that my absence was occasioned by sickness from to inclusive. Nature of Sickness of or Accident: Total Days: Date: Date Employee’s Signature
Appears in 1 contract
Samples: Collective Bargaining Agreement
EMPLOYEE'S APPLICATION FOR SICK LEAVE ABSENCE. I hereby apply for sick leave absence and certify that my absence was occasioned by (sickness) (accident) from to inclusive. Nature of Sickness of Accident: Total Days: Date: Employee’s SignatureDays DATED 19
Appears in 1 contract
Samples: Collective Bargaining Agreement
