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Loss of time form with the culinary union 2026
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- Click ‘Get Form’ to open it in the editor.
- Begin with Part 1, which must be completed by your employer. Ensure your Human Resources Department fills out this section accurately.
- Provide your personal information including name, date of birth, social security number, and contact details. Make sure to specify your occupation and language preference.
- Detail the nature of your illness or injury, including dates of occurrence and treatment. If applicable, attach any police reports related to the incident.
- In Part 2, hand over the form to your doctor for completion. They will need to provide their assessment and confirm your inability to work.
- Once both parts are filled out, review for completeness before submitting them back to the Culinary Workers Health Fund for processing.
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