Catastrophic Leave Program Physician's Certification - Arkansas

Catastrophic Leave Program Physician's Certification - Arkansas

Catastrophic Leave Program Physician's Certification is a legal document that was released by the Arkansas Department of Transformation and Shared Services - a government authority operating within Arkansas.

FAQ

Q: What is the Catastrophic Leave Program Physician's Certification in Arkansas?
A: The Catastrophic Leave Program Physician's Certification in Arkansas is a document that certifies an employee's need for catastrophic leave due to a serious medical condition.

Q: Who needs to fill out the Catastrophic Leave Program Physician's Certification?
A: The Catastrophic Leave Program Physician's Certification needs to be filled out by a licensed physician or medical professional who is treating the employee.

Q: What information is required in the Catastrophic Leave Program Physician's Certification?
A: The certification should include the employee's name, diagnosis, expected duration of the illness or treatment, and a statement explaining why catastrophic leave is necessary.

Q: How does the Catastrophic Leave Program work in Arkansas?
A: The Catastrophic Leave Program allows employees to donate unused leave time to a fellow employee who is experiencing a catastrophic illness or injury and has exhausted their own leave balance.

Q: Is the Catastrophic Leave Program Physician's Certification confidential?
A: Yes, the information provided in the Catastrophic Leave Program Physician's Certification is confidential and should only be used for the purpose of determining eligibility for catastrophic leave.

Q: Can an employee use catastrophic leave for their own illness?
A: Yes, employees can use catastrophic leave for their own serious illness if they meet the eligibility requirements and have exhausted their own leave balance.

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Form Details:

  • Released on May 27, 2021;
  • The latest edition currently provided by the Arkansas Department of Transformation and Shared Services;
  • Ready to use and print;
  • Easy to customize;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of the form by clicking the link below or browse more documents and templates provided by the Arkansas Department of Transformation and Shared Services.

Download Catastrophic Leave Program Physician's Certification - Arkansas

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