| | |
Summary: Medical Note Reimbursement Form: C.U.P.E.
Human Resources
Employee Name: __________________________________________________
Employee Number: _______________
Please the clause belowthat qualifies theabove named employee to receive a
reimbursement fora medical certificate or note.
Doctor's Certificate - The Employer is prepared to cover the cost of the required doctor's
certificate up to a maximum of $25.00 per certificate.
C.U.P.E. Local 1302 Article 20.03:
o An employee may, with p rior warning, be required to provide a doctor's certificate certifying that the
employee is medically unable to carry out normal duties due to illness.
o It is understood that a dentist will be considered a doctor for the provisions of this Article.
o The Employer is prepared to cover the cost of the required doctor's certificate up to a maximum of $25.00
per certificate.
C.U.P.E. Local 229 Article 20.04:
o An employee may, with prior warning, be required to provide a doctor's certificate certifying that the
employee is medically unable to carry out normal duties due to illness.
o It is understood that a dentist will be considered a doctor for the provisions of this Article.
o The Employer is prepared to cover the cost of the required doctor's certificate up to a maximum of $25.00
per certificate.
|
