INDEPENDENT ASSESSMENT COMMITTEE Sample Clauses

INDEPENDENT ASSESSMENT COMMITTEE. 55.01 On deciding to make a reference to an IAC pursuant to Article 54.14, SUN shall give written notice to the Employer, specifying the items related to work load to be referred to the IAC.

INDEPENDENT ASSESSMENT COMMITTEE. Xx Xxxxx Xxxxxx FCS International 000 Xxxxxxx Xx. Xxxxx 000 Xxxx Xxxxx, XX X0X 0X0 Telephone: (000) 000-0000 Fax: (000) 000-0000 Ms Xxxxxxx Xxxxx 0000 Xxxxxx Xxxx XXXXXXXX XX X0X 0X0 Telephone: (000) 000-0000 Email: xxxxxxx.xxxxx@xxxxxxxxx.xx Xx Xxxxxx Xxxxxxxxx 000 Xxxxxx Xxxxx Xxxx XXXXXX XX X0X 0X0 Telephone: (000) 000-0000 Fax: (000) 000-0000 Email: xxxxxxxxxxxxxx@xxxxxxxxx.xx SCHEDULE “E” CERTIFICATE OF EMPLOYEE CONFIRMING ABSENCE DUE TO PERSONAL ILLNESS OR INJURY DATE: NAME: FACILITY: DATE(S) OF ABSENCE: I hereby affirm on my honour that my personal illness or injury prevented me from attending work on the date(s) shown above. I understand that I will be compensated for the time absent from work at 70% of my straight time wages only. SIGNATURE OF THE EMPLOYEE: PAYMENT APPROVED: SIGNATURE OF SUPERVISOR DATE APPROVED: SCHEDULE “F” MEDICAL CERTIFICATE OF INABILITY TO WORK OR READINESS TO RETURN TO WORK‌ DUE TO/FOLLOWING PERSONAL ILLNESS OR INJURY PHYSICIAN/ NURSE PRACTITIONER INFORMATION: NAME: ADDRESS: TELEPHONE NUMBER: I, confirm that (Physician’s/Nurse Practitioner’s name) (Please print employee’s name) was treated by me on work is or was unable to (Date) due to (Nature of illness/injury only) PROGNOSIS: Will not return to work: Will return to work on: