DISPOSITION RESPONSE Sample Clauses

DISPOSITION RESPONSE. THE ABOVE STATEMENT(S) AND FACTS ARE TRUE TO THE BEST OF MY KNOWLEDGE. DATE: SIGNED: DATE: SIGNED: THE GRIEVANT'S SIGNATURE ON THIS FORM ACKNOWLEDGES ONLY THAT HE/SHE HAS READ AND RECEIVED A COPY OF THIS DISPOSITION RESPONSE. Where decision requires additional space, attach pages as necessary. The salary schedules for 2021-2022, 2022-2023, 2023-2024 shall reflect a 3%, 3%, 2%. Cafeteria Worker base pay shall increase by $0.75 retroactive to the beginning of the 2021-2022 school year prior to the 3% base increase for the 2021-2022 school year. The retroactive increase shall be paid in a lump sum in a good faith effort by the Board by November 26, 2021. Bus Driver base pay shall increase by $1.00 retroactive to the beginning of the 2021- 2022 school year prior to the 3% base increase for the 2021-2022 school year. The retroactive increase shall be paid in a lump sum in a good faith effort by the Board by November 26, 2021 To Health Care Provider: (Employee) has applied for family or medical leave from Independence Local School District. Employee is employed as a (name of position). Please complete the information outlined below so that the employee’s eligibility can be determined. I hereby certify that I have physically examined Employee and have determined that she/he has a serious health condition. This serious health condition began on (Date) and will continue until (Date). (Indicate whether actual or estimated .) Please provide appropriate medical facts: (attach separate sheet if necessary). I also certify that the Employee is unable to perform the essential job functions of her/his position. The Employee will continue to be under my care for treatment, and I will give the Independence Local School District a monthly update in writing on the Employee’s condition. Health Care Provider (Please print or type.) Return this form to Superintendent Signature Independence Local Board of Education ▇▇▇▇ ▇▇▇▇▇ ▇▇▇▇ ▇▇▇▇▇▇▇▇▇▇▇▇, ▇▇ ▇▇▇▇▇ Telephone Number Date To Health Care Provider: (Employee) has applied for family or medical leave from the Independence Local School District. Please complete the information outlined below so that the employee’s eligibility can be determined. I hereby certify that Employee is needed to care for her/his child/spouse/parent because such relative has a serious health condition. This serious health condition began on (Date) and will continue until (Date). (Indicate whether actual or estimated Please provide appropriate medical facts a...