/https://siu.edu/search-results.php
Last Updated: Dec 20, 2023, 09:42 AM
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: 02 Mar 2021
Posting by: Human Resources
Contact email: formadm@siu.edu
Form ID: hro1059