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 Group: Requested By: WSIB Claim: Yes No WSIB Claim Number: Employee Name: (Please print) Employee Signature: 1. Health Care Professional: The following information should be completed by the Health Care Professional
Appears in 8 contracts
Samples: Collective Agreement, Collective Agreement, Collective Agreement
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 Group: Requested By: WSIB Claim: Yes No WSIB Claim Number: Employee Name: (Please print) Employee Signature:
1. Health Care Professional: The following information should be completed by the Health Care Professional
Appears in 3 contracts
Samples: Collective Agreement, Collective Agreement, Collective Agreement
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 Group: Requested By: WSIB Claim: Yes No WSIB Claim Number: Employee Name: (Please print) Employee Signature:
1. Health Care Professional: The following information should be completed by the Health Care Professional
Appears in 2 contracts
Samples: Collective Agreement, Collective Agreement
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 Group: Requested By: WSIB Claim: Yes No WSIB Claim Number: APPENDIX B – ABILITIES FORM Employee Name: (Please print) Employee Signature:
1. Health Care Professional: The following information should be completed by the Health Care Professional
Appears in 1 contract
Samples: Collective Agreement
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 Group: Requested By: WSIB Claim: Yes No WSIB Claim Number: APPENDIX B – ABILITIES FORM Employee Name: (Please print) Employee Signature:
1. Health Care Professional: The following information should be completed by the Health Care Professional
Appears in 1 contract
Samples: Collective Agreement
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 – FUNCTIONAL ABILITIES FORM Employee Group: Requested By: WSIB Claim: Yes No WSIB Claim Number: Employee Name: (Please print) Employee Signature:
1. Health Care Professional: The following information should be completed by the Health Care Professional
Appears in 1 contract
Samples: Collective Agreement
