Page 246 - Registrar Orientation Manual 2016

Accident Leave Policy Authorisation to use sick leave
Authorisation to use sick leave to top up base salary to 100% when on Acc.
Please circle the authorisation below and return to:
Waikato District Health Board Payroll Services
P.O. Box 934
Hamilton
Fax: (07) 834 3663
I authorise / do not authorise Waikato District Health Board to access my sick leave balance to make up my pay to 100% of ordinary time whilst I am incapacitated due to injury.
I understand that I will need to contact my manager for approval to use more than 13 days of my sick leave for this purpose.
Name:_____________________________________________ Signed:_____________________________________________ Date: _____________________________________________
Please note:
You must return this authorisation form for Payroll Services to access your sick leave.
Payroll will inform you in writing of how much sick leave we are accessing once payment calculations have come back from Work Aon but you must provide a copy of what Acc is paying you before top up can commence. Please note we can not deduct any sick leave until we have this information back.
Payroll Services will not automatically access your sick leave if you do not return this form.
If you have any questions please contact the Payroll Services Help Desk on (07) 834 3647 or ext 97647 or email payhelp@waikatodhb.health.nz