Leave Applicat ion / Medical Cert if icate Form. The contents of the City of Xxx xx a Claim for Sick Benef it and Medical Cert if icat e Form – ATU 279 ref erred to herein shall be mutually agreed upon by the part ies.
Leave Applicat ion / Medical Cert if icate Form Sample Clauses
Related to Leave Applicat ion / Medical Cert if icate Form
Medical Certification (1) The University may require an employee to provide medical certification from a health care provider for FMLA leave without pay when taken for the serious health condition of the employee or the employee's family member.
Medical Certificate 🞏 Absent from Work (first date of absence) 🞏 Not absent from work but requires accommodations Part 1 – Employee - please complete following: (Employee Name) The information supplied will be used in a confidential manner and may assist in creating a return to work plan. I hereby consent to the completion of this form by: (Treating Medical Practitioner’s Name) (Signature of Employee) (Date)
Medical Certificates (a) An employee who has given the Employer notice of their intention to take paid or unpaid parental leave, or unpaid partner leave shall provide the Employer with a medical certificate from a registered medical practitioner naming the employee, or the employee’s partner, confirming the pregnancy and estimated date of birth.
Certificate of Interested Parties Form – Form 1295 As required by Section 2252.908 of the Texas Government Code. H-GAC will not enter a Contract with Contractor unless (i) the Contractor submits a disclosure of interested parties form to H-GAC at the time the Contractor submits the contract H-GAC, or
SICK LEAVE / Medical Certificates and Reporting 10.1 Sick leave with pay shall be granted to a teacher on account of injury to or the illness or disability of the teacher, or for the purpose of obtaining necessary medical or dental treatment.
SCOPE & APPLICATION 5.1 This Agreement shall apply in the state of Victoria to: ⮚ The company in respect to all of its employees engaged in building and construction work as defined by the award. ⮚ Employees of the company who are engaged in any of the occupations, callings or industries specified in the award. ⮚ The CFMEU (Building Unions Division and FEDFA Division) Victorian Branch.
