Common use of Other Retirement Gratuities Clause in Contracts

Other Retirement Gratuities. An employee is not eligible to receive any non-sick leave credit retirement gratuity (such as, but not limited to, service gratuities or RRSP contributions) after August 31, 2012. Employee’s Consent: I authorize the Health Professional involved with my treatment to provide to my employer this form when complete. This form contains information about any medical limitations/restrictions affecting my ability to return to work or perform my assigned duties.

Other Retirement Gratuities. An employee is not eligible to receive any non-sick leave credit retirement gratuity (such as, but not limited to, service gratuities or RRSP contributions) after August 31, 2012. APPENDIX B – ABILITIES FORM Employee’s Consent: I authorize the Health Professional involved with my treatment to provide to my employer this form when complete. This form contains information about any medical limitations/restrictions affecting my ability to return to work or perform my assigned duties.

Other Retirement Gratuities. An employee is not eligible to receive any non-sick leave credit retirement gratuity (such as, but not limited to, service gratuities or RRSP contributions) after August 31, 2012. Employee’s Consent: I authorize the Health Professional involved with my treatment to provide to my employer this form when complete. This form contains information about any medical limitations/restrictions affecting my ability to return to work or perform my assigned duties.. Employee Name: (Please print) Employee Signature: 1. Health Care Professional: The following information should be completed by the Health Care Professional

Other Retirement Gratuities. An employee is not eligible to receive any non-sick leave credit retirement gratuity (such as, but not limited to, service gratuities or RRSP contributions) after August 31, 2012. (See also Letter #9 and Central Article C9.0 for Retirement Gratuities) Employee Name: (Please print) Employee Signature: Employee’s Consent: I authorize the Health Professional involved with my treatment to provide to my employer this form when complete. This form contains information about any medical limitations/restrictions affecting my ability to return to work or perform my assigned duties.

Other Retirement Gratuities. An employee is not eligible to receive any non-sick leave credit retirement gratuity (such as, but not limited to, service gratuities or RRSP contributions) after August 31, 2012. To the Employee’s Consent: I authorize the Health Professional involved with my treatment The purpose for this form is to provide the Board with information to my employer this form when complete. This form contains information about any medical limitations/assess whether you are able to perform the essential duties of your position, and understand your restrictions affecting my ability and/or limitations to return to work or perform my assigned dutiesassess workplace accommodation if necessary.

Other Retirement Gratuities. An employee is not eligible to receive any non-sick leave credit retirement gratuity (such as, but not limited to, service gratuities or RRSP contributions) after August 31, 2012. Employee’s Consent: I authorize the Health Professional involved with my treatment to provide to my employer this form when complete. This form contains information about any medical limitations/restrictions affecting my ability to return to work or perform my assigned duties.

Other Retirement Gratuities. An employee is not eligible to receive any non-sick leave credit retirement gratuity (such as, but not limited to, service gratuities or RRSP contributions) after August 31, 2012. Employee’s Consent: Emp I authorize the Health Professional involved with my treatment to provide to my employer this form when complete. This form fomr contains information about any medical limitations/restrictions affecting my ability to return to work or perform my performmy assigned duties.. Employee Name: (Please print) Employee Signature:

Other Retirement Gratuities. An employee is not eligible to receive any non-sick leave credit retirement gratuity (such as, but not limited to, service gratuities or RRSP contributions) after August 31, 2012. Employee’s ConsentEmployee Name: I authorize (Please print) Employee Signature: 1. Health Care Professional: The following information should be completed by the Health Care Professional involved with my treatment 2A: Health Care Professional to provide to my employer this form when complete. This form contains information about any Please outline your patient’s abilities and/or restrictions based on your objective medical limitations/restrictions affecting my ability to return to work or perform my assigned duties.findings. PHYSICAL (if applicable)