EMPLOYEE'S STATEMENT Sample Clauses

EMPLOYEE'S STATEMENT. I hereby authorize Xxxxxx Public Schools to contact my health care provider(s) to verify the reason for my requested leave or for any other information concerning my requested family or medical leave. I understand that this authorization will be used only if a medical certification is not received or it is incomplete. I understand that a failure to return to work at the end my leave period may be treated as a resignation and will serve as a basis for discharge unless an extension has been agreed upon and approved in writing by . Date Employee's Signature Approved by: Superintendent This page intentionally left blank. SAMPLE ADMINISTRATIVE FORMS 75
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EMPLOYEE'S STATEMENT. 9.15.4.1 The employee shall state that such absence was due to a personal necessity and outline the nature of such necessity.
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EMPLOYEE'S STATEMENT. The information obtained from completion of these documents is for use in determining the employee's eligibility for a Sick Leave or required workplace accommodation. Last Name: First Name: S.I.N. #: Date of Birth: Male Female Address:
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EMPLOYEE'S STATEMENT. I hereby authorize Xxxxxx Public Schools to contact my health care provider(s) to verify the reason for my requested leave or for any other information concerning my requested family or medical leave. I understand that this authorization will be used only if a medical certification is not received or it is incomplete. I understand that a failure to return to work at the end my leave period may be treated as a resignation and will serve as a basis for discharge unless an extension has been agreed upon and approved in writing by . _ Date Employee's Signature Approved by: Superintendent SAMPLE ADMINISTRATIVE FORMS 74 L e t t e r o f C o u n s e l To: Employee, Title/Position From: Supervisor, Title Date: Consistent with the Xxxxxx Public Schools commitment to maintaining high standards and treating all employees fairly and ethically, this letter is to clearly address an issue related to your performance and/or conduct that needs to improve in order to meet the standards of the District and/or _ Department/School. It is also intended to document our previous meeting regarding this issue. As we discussed in our meeting on your performance/conduct fails or has failed to meet our standard in the following ways:
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EMPLOYEE'S STATEMENT. I hereby authorize Xxxxxx Public Schools to contact my health care provider(s) to verify the reason for my requested leave or for any other information concerning my requested family or medical leave. I understand that this authorization will be used only if a medical certification is not received or it is incomplete. I understand that a failure to return to work at the end my leave period may be treated as a resignation and will serve as a basis for discharge unless an extension has been agreed upon and approved in writing by . Date Employee's Signature Approved by: Superintendent SAMPLE ADMINISTRATIVE FORMS This page intentionally left blank. Letter of Counsel To: Employee, Title/Position From: Supervisor, Title Date: Consistent with the Xxxxxx Public Schools commitment to maintaining high standards and treating all employees fairly and ethically, this letter is to clearly address an issue related to your performance and/or conduct that needs to improve in order to meet the standards of the District and/or Department/School. It is also intended to document our previous meeting regarding this issue. As we discussed in our meeting on your performance/conduct fails or has failed to meet our standard in the following ways: (Be as specific a possible. For example: You have been late to work three times from September 1 to October 5. Also, include any response that the employee offered during the initial meeting. For example, you have acknowledged that you have been late, but indicated that you did not remember being late as often as reported.) (Directive or suggestions for improvement/correction. For example: You are directed to be at your post by 8 a.m. each day.) This letter should be understood as part of our effort to work together toward the goal of achieving your success as an employee. Please approach these suggestions/directives for improvement with the understanding that the district and I are invested in you and your success. I will retain a copy of this memo, but it will not be part of your personnel file with the district. However, further steps in the progressive disciplinary process may result in documentation that would be included in your district personnel file. Rev. 10-2019 XXXXXX PUBLIC SCHOOLS SUPPORT EMPLOYEE ADMONISHMENT FORM Employee’s Name Employee’s Supervisor Employee’s Job Title Work Site Date Cause – List Violation of Negotiated Agreement 7.6. Description of Violation Has the employee been warned previously? Yes No If yes, circle f...
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EMPLOYEE'S STATEMENT. The information obtained from completion of these documents is for use in determining the employee's eligibility for a Sick Leave or required workplace accommodation. Last Name: First Name: S.I.N. #: Date of Birth: Male Female Address: No. & Street City/Town Province Postal Code Telephone No.:
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EMPLOYEE'S STATEMENT. I have reviewed and discussed the duties and responsibilities of this position with my supervisor and have received a copy of the Duty Statement and can perform the duties outlined above without a Reasonable Accommodation. Employee's Name (Print) Employee's Signature Date Supervisor's Statement: I have reviewed the duties and responsibilities of this position and have provided a copy of the Duty Statement to the Employee. Supervisor's Name (Print) SupeNisor's Signature Date
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EMPLOYEE'S STATEMENT. The Employee hereby states that he is neither a party to any agreement or any other legal restriction which prohibits him from executing this Agreement or performing any obligation hereunder, nor bound by such agreement or any other legal restriction.
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Related to EMPLOYEE'S STATEMENT

  • Employees; Benefits Employer agrees that any and all benefits that were provided to the Employee shall continue until _________________, 20____. In addition, the Employer shall assist the Employee in the transfer, change, or termination to any employment benefits, including, but not limited to, health insurance plans, dental insurance plans, vision insurance plans, life insurance plans, disability insurance, childcare benefits, wellness programs, retirement plans, government assistance programs, and/or any other program or benefit that was readily accessible and being used by the Employee.

  • EMPLOYEE’S REPRESENTATION The Executive represents and warrants to the Company that: (a) he is subject to no contractual, fiduciary or other obligation which may affect the performance of his duties under this Agreement; (b) he has terminated, in accordance with their terms, any contractual obligation which may affect his performance under this Agreement; and (c) his employment with the Company will not require him to use or disclose proprietary or confidential information of any other person or entity.

  • Employee’s Representations Employee represents and warrants that Employee is free to enter into this Agreement and to perform each of the terms and covenants in it. Employee represents and warrants that Employee is not restricted or prohibited, contractually or otherwise, from entering into and performing this Agreement, and that Employee’s execution and performance of this Agreement is not a violation or breach of any other agreement or other legal obligation between Employee and any other person or entity.

  • Employees; Benefit Plans (a) Prior to the Effective Time, Parent shall take all reasonable action so that employees of the Company and its Subsidiaries who become employees of Parent and its Subsidiaries (the “Transferred Employees”) shall be entitled to participate, effective as soon as administratively practicable following the Effective Time, in each “employee benefit plan,” as such term is defined by Section 3(3) of ERISA, maintained by Parent or its Subsidiaries and any Parent Stock Plan (collectively, the “Parent Benefit Plans”) to the same extent as similarly-situated employees of Parent and its Subsidiaries (it being understood that inclusion of the employees of the Company and its Subsidiaries in the Parent Benefit Plans may occur at different times with respect to different plans and that any grants to any former employee of the Company or its Subsidiaries under any Parent Stock Plan shall be discretionary with Parent). Notwithstanding the foregoing, Parent may determine to continue any of the employee benefit plans, programs or arrangements of the Company or any of its Subsidiaries for Transferred Employees in lieu of offering participation in the Parent Benefit Plans providing similar benefits (e.g., medical and hospitalization benefits), to terminate any of such benefit plans, or to merge any such benefit plans with the Parent Benefit Plans, provided the result is the provision of benefits to Transferred Employees that are substantially similar to the benefits provided to the employees of Parent and Parent Bank generally. Parent shall cause each Parent Benefit Plan, other than the Parent Employee Stock Ownership Plan, in which Transferred Employees are eligible to participate to recognize, for purposes of determining eligibility to participate in, the vesting of benefits and for all other purposes (but not for accrual of benefits) under the Parent Benefit Plans the service of such Transferred Employees with the Company and its Subsidiaries to the same extent as such service was credited for such purpose by the Company; provided, however, that such service shall not be recognized to the extent that such recognition would result in a duplication of benefits. Notwithstanding anything to the contrary herein, Transferred Employees will be treated as “new employees” of Parent or its Subsidiaries for purposes of determining eligibility and vesting under the Parent Employee Stock Ownership Plan.

  • Employees; Compensation The Consultant shall be solely responsible for the following:

  • Hiring of Employees Company and Shareholders shall cooperate with all requests made by Pentegra for the purpose of allowing Pentegra to hire those non-dentist employees of Company designated by Pentegra, such employment to be effective as of the Closing Date. Notwithstanding the above, Company and Shareholders shall remain liable under any Company Plans for any claims incurred by any employees or their spouses or dependents, and for all compensation, bonuses, benefits and other such items and other liabilities related to Company's employees incurred by Company prior to the Closing Date.

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