Extended Sick Leave and Workers' Compensation Reimbursement Agreement
Form Title: Extended Sick Leave and Workers' Compensation Reimbursement Agreement
Description: Agreement to reimburse extended sick leave benefits if sick leave was used prior to approval of workers' comp claim or occupational disease payments.
Usage Notes: This form is an agreement to repay the sick leave in the event the worker's comp or occupational disease payments are made to employee. Cannot use both.
Use Documentation: None available
To be used by: Campus Use
Posted on: 27 Aug 2014
Posting by: Human Resources
Author: Clay Cochran
Author's email: firstname.lastname@example.org
Form ID: hro1059