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 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 sickness accident (sickness) (accident) from to inclusive. Nature of Sickness of AccidentTotal Days DATED CERTIFICATE 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: negotech.labour.gc.ca
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 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 (sickness) (accident) from to inclusive. Nature of Sickness of Accident: Total Days: Date: Days Dated Employee’s Signature's Signature PHYSICIAN'S CERTIFICATE the undersigned, duly registered and qualified medical practitioner, certify that was under my care for days due to the above sickness. Dated Signature DECISION ON APPLICATION The application is approved is not approved
Appears in 1 contract
Samples: Collective Agreement
EMPLOYEE'S APPLICATION FOR SICK LEAVE ABSENCE. I hereby Xxxxxxx 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 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 (sickness) (accident) from to inclusive. Nature of Sickness of Accident: Total Days: Date: Days DATED Employee’s 's Signature
Appears in 1 contract
Samples: An 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 (sickness)(accident) from to inclusive. Total days Nature of Sickness of Accident: Total Days: Date: Employee’s Illness Date Employee Name (print) Employee Signature
Appears in 1 contract
Samples: Collective Agreement