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Common use of Required Forms Clause in Contracts

Required Forms. Members must fill out the following applicable forms in connection with leave under this Article: 10.4.1 “Request for Family or Medical Leave Form” prepared by the District to be eligible for leave. 10.4.2 Medical certification - either for the member’s own serious health condition or for the serious health condition of a child, parent, spouse, or designated domestic partner.

Appears in 2 contracts

Samples: Collective Bargaining Agreement, Collective Bargaining Agreement

Required Forms. Members must fill out the following applicable forms in connection with leave under this Articlearticle: 10.4.1 a. “Request for Family or and Medical Leave Form” prepared by the District to be eligible for leave.; 10.4.2 b. Medical certification - either for the member’s own serious health condition or for the serious health condition of a child, parent, parent or spouse, or designated domestic partner; c. Authorization for payroll deductions for benefit plan coverage continuation; and d. Fitness-for-duty certification to return from leave.

Appears in 2 contracts

Samples: Collective Bargaining Agreement, Tentative Agreement

Required Forms. Members Unit members must fill out the following applicable forms in connection with leave under this Articlearticle: 10.4.1 “a. Request for Family or Medical Leave Form” Form prepared by the District to be eligible for leave.; 10.4.2 b. Medical certification - either for the unit member’s own serious health condition or for the serious health condition of a child, parent, parent or spouse, or designated domestic partner; c. Authorization for payroll deductions for benefit plan coverage continuation; and d. Fitness for duty to return from leave certification.

Appears in 1 contract

Samples: Collective Bargaining Agreement

Required Forms. Members must fill out the following applicable forms in connection with leave under this Article:article:‌ 10.4.1 a. “Request for Family or and Medical Leave Form” prepared by the District to be eligible for leave.leave;‌ 10.4.2 b. Medical certification - either for the member’s own serious health condition or for the serious health condition of a child, parent, spouse, parent or designated domestic partner.spouse;‌ c. Authorization for payroll deductions for benefit plan coverage continuation; and‌ d. Fitness-for-duty certification to return from leave.‌

Appears in 1 contract

Samples: Collective Bargaining Agreement

Required Forms. Members Unit members must fill out the following applicable forms in connection with leave under this Articlearticle: 10.4.1 “a) Request for Family or Medical Leave Form” Form prepared by the District to be eligible for leave.; 10.4.2 b) Medical certification - either for the unit member’s own serious health condition or for the serious health condition of a child, parent, parent or spouse, or designated domestic partner; c) Authorization for payroll deductions for benefit plan coverage continuation; and d) Fitness for duty to return from leave certification.

Appears in 1 contract

Samples: Collective Bargaining Agreement

Required Forms. Members must fill out the following applicable forms in connection with leave under this Article: 10.4.1 “10.4.1. Request for Family or Medical Leave Form” Form‖ prepared by the District to be eligible for leave. 10.4.2 10.4.2. Medical certification - either for the member’s own serious health condition or for the serious health condition of a child, parent, spouse, or designated domestic partner.

Appears in 1 contract

Samples: Collective Bargaining Agreement