Common use of Certificate of Health Clause in Contracts

Certificate of Health. When a member has been absent for more than five (5) but less than ten (10) consecutive work days because of personal illness, a Certificate of Health form shall be filed with the Department of Human Resources immediately upon the member’s return to work. In the event that the absence is for ten (10) days or more, a Certificate of Health is to be filed at the end of each payroll period. Failure to file the Certificate of Health will result in delay of compensation for accumulated sick days. The Certificate of Health shall be signed by the member and his/her physician and shall list the name and address of the attending physician, the dates the physician was consulted, and a statement by the physician that member was unable to work. Nothing in this form shall be construed to waive the physician-patient privilege.

Appears in 5 contracts

Samples: Master Agreement, Master Agreement, Master Agreement

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Certificate of Health. When a member has been absent for more than five (5) but less than ten (10) consecutive work days because of personal illness, a Certificate of Health form shall be filed with the Department of Human Resources immediately upon the member’s return to work. In the event that the absence is for ten (10) days or more, a Certificate of Health is to be filed at the end of each ten (10) day payroll period. Failure to file the Certificate of Health will result in delay of compensation for accumulated sick days. The Certificate of Health shall be signed by the member and his/her physician and shall list the name and address of the attending physician, the dates the physician was consulted, and a statement by the physician that member was unable to work. Nothing in this form shall be construed to waive the physician-patient privilege.

Appears in 1 contract

Samples: Master Agreement

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