Sick Leave Bank Application. An employee who has exhausted his/her sick leave credits, vacation and floater days as per the provisions of Article 20.09(b) will be required to complete a Union/Employer approved “Sick Leave Bank Application” (see Appendix “A” for approved application form) as part of the process of applying for sick leave credit from the Sick Leave Bank. The Sick Leave Bank Committee has the right to deny sick leave to any employee who does not satisfy the Sick Leave Bank Committee of the legitimacy of his/her claim. It is the responsibility of the Employee to submit the completed Application Form to the Sick Leave Bank Committee.
Sick Leave Bank Application for Appendix A A-1 Site Based Decision Making (Working Conditions) Article VIII 15 Smoke-Free Workplace (Working Conditions) Article VIII 18 Specialized Training (Financial Issues) Article X 29 STRS Pick-Up - Utilizing the Salary Reduction Method (Financial Issues) Article X 32 Subcontracting (Working Conditions) Article VIII 18 Supplemental Compensation Schedule (Financial Issues) Article X 42 Supplemental Head Coach Experience (Financial Issues) Article X 43 Supplemental Salary Categories (Financial Issues) Article X 43 Table of Contents i Teacher Contracts (Working Conditions) Article VIII 10 Teacher Evaluation (Working Conditions) Article VIII 13 Teacher Facilities (Working Conditions) Article VIII 13 Transfer/Vacancy Policy (Working Conditions) Article VIII 16 Transportation Mileage Rate (Financial Issues) Article X 31 Tuition/Non-Resident Students (Financial Issues) Article X 30 Work Day/Work Year (Working Conditions) Article VIII 12 Working Conditions Article VIII 10 APPENDIX A APPLICATION FOR SICK LEAVE BANK XXXXXXXX XXXXX LOCAL SCHOOLS 0000 X.X. 00 Xxxxx Xxxx, Xxxx 00000 Date: Name: Building: Home Address: Telephone Number: Number of sick days used this school year: Number of sick days used for current illness: Employee's reason for request (be specific): Estimate of additional days needed: Name of attending physician: Address of attending physician: Telephone number of attending physician: PLEASE SUBMIT COMPLETED APPLICATION TO THE SUPERINTENDENT PHYSICIAN'S STATEMENT APPENDIX B is unable to perform teaching duties and requires extended sick leave because (please be specific with diagnosis and description of complications): . requires non-elective surgery which cannot be postponed until the end of the school year. Nature of procedure: . This patient has been under my care for (length of time in months and years): . Physician's estimate of number of days needed for recovery: Physician's Signature I give my physician permission to release the above-requested medical information. Employee's Signature PLEASE SUBMIT THIS COMPLETED STATEMENT TO: SUPERINTENDENT XXXXXXXX XXXXX LOCAL SCHOOLS 0000 X.X. 00 XXXXX XXXX, XXXX 00000 GRIEVANCE FORM APPENDIX C STEP 1: INFORMAL DISCUSSION STEP 2: TO BE COMPLETED BY GRIEVANT Timeline: To be filed within 15 work days of the event giving rise to the grievance ☐ Association Grievance ☐ Individual Grievance
Sick Leave Bank Application. To be used by employees represented by the Schaumburg Educational Employees Organization, IEA- NEA (SEEO) and a part of the bargaining unit as set forth in the collective bargaining agreement. Remember that all of your sick and personal days must be used prior to using the sick bank. You must have fulfilled your 120 work day probationary period to begin using sick bank. Send to: The SEEO Sick Bank Chair Name: Home phone number: School: Position: Part time Full Time Date of employment: Beginning Date of Illness (first workday absence):
Sick Leave Bank Application. A. The district will make forms available for Sick Leave Bank Requests.
