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.
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.
Form Details:
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.