063.2005
RESOLUTION AUTHORIZING EXTENSION OF UNPAID MEDICAL
LEAVE OF ABSENCE FOR WILLIAM SHAW
RESOLUTION NO.: 63, 2005
INTRODUCED BY: Mr. Roger Boor
WHO MOVED ITS ADOPTION
SECONDED BY: Mr. John Strough
WHEREAS, William Shaw, Computer Technology Coordinator, has been out on sick
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leave/sick bank leave since August 6, 2004 and Mr. Shaw exhausted all paid leave available to
him, including all sick leave bank leave, and
WHEREAS, Mr. Shaw requested Town Board approval to take an unpaid medical leave
of absence as set forth in Warren County Civil Service Rule XIX and Mr. Shaw submitted medical
documentation supporting a need for medical leave, and
WHEREAS, by Resolution No.: 376,2004, the Town Board granted Mr. Shaw an unpaid
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medical leave extending through the earlier of February 6, 2005 or certification of his physical
qualification for return to work documented by his physician in form satisfactory to the Town,
and
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WHEREAS, by letter dated January 5, 2005, Mr. Shaw has requested a six (6) month
extension of his unpaid medical leave and has provided the Town Board with medical
documentation supporting such request, and
WHEREAS, the Town’s Director of Information Technology and Budget Officer have
recommended that the Town Board grant the six (6) month extension of Mr. Shaw’s unpaid
medical leave extending through the earlier of:
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1.August 7, 2005; or
2.Certification of his physical qualification for return to work, documented by his
physician in form satisfactory to the Town;
and
WHEREAS, the Town Board has carefully considered the circumstances of Mr. Shaw’s
request and the recommendations of the Director of Information Technology and Budget Officer,
NOW, THEREFORE, BE IT
RESOLVED, that the Queensbury Town Board hereby authorizes and grants a six (6)
month extension of William Shaw’s unpaid medical leave of absence with an effective date of
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February 7, 2005 extending through the earlier of:
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1.August 7, 2005; or
2.Certification of his physical qualification for return to work, documented by his
physician in form acceptable to the Town;
and
BE IT FURTHER,
RESOLVED, that Mr. Shaw shall provide the Town with a status report from his
physician regarding his ability to return to work and must notify the Town Board in writing by
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July 7, 2005 of his intention to return to work or request further unpaid medical leave and supply
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supporting documentation if he wishes to request additional unpaid leave beyond August 7,
2005, and
BE IT FURTHER,
RESOLVED, that the Town Board further authorizes and directs the Town Supervisor,
Director of Information Technology and/or Budget Officer to take any action necessary to
effectuate the terms of this Resolution, and
BE IT FURTHER,
RESOLVED, that this Resolution will not have any impact or create any inference as to
any determination of entitlement to Disability or Workers’ Compensation Benefits.
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Duly adopted this 24 day of January, 2005, by the following vote:
AYES : Mr. Boor, Mr. Turner, Mr. Strough, Mr. Brewer, Mr. Stec
NOES : None
ABSENT : None