FOR THE EMPLOYER. FOR THE UNION: Xxxxxx Xxxxxx Xxxxx Xxxxxxx Xxxxx Labour Relations Officer Xxxxxxxx Ireland Xxxxxx Xxxxxxx Xxxxx Xxxxxxxx SCHEDULE A 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 B MEDICAL CERTIFICATE OF INABILITY TO WORK OR READINESS TO RETURN TO WORK DUE TO/FOLLOWING PERSONAL ILLNESS OR INJURY PHYSICIAN/ NURSE PRACTITIONER/MIDWIFE* *(in the context of the employee’s pregnancy) INFORMATION: NAME:
Appears in 2 contracts
Samples: Collective Agreement, Collective Agreement
FOR THE EMPLOYER. FOR THE UNION: Xxxxxx Xxxxxx Xxxxxxxx Xxxx Xxxxx Xxxxxxx Xxxxx Labour Relations Officer Xxxxxxxx Ireland Xxxx-Xxxxxxx Xxxxxx Xxxxxxx Xxxxx Xxxxxxxx Ireland SCHEDULE A 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 B MEDICAL CERTIFICATE OF INABILITY TO WORK OR READINESS TO RETURN TO WORK DUE TO/FOLLOWING PERSONAL ILLNESS OR INJURY PHYSICIAN/ NURSE PRACTITIONER/MIDWIFE* *(in the context of the employee’s pregnancy) INFORMATION: NAME:
Appears in 1 contract
Samples: Collective Agreement