376.2004
RESOLUTION AUTHORIZING UNPAID MEDICAL LEAVE OF ABSENCE
FOR WILLIAM SHAW
RESOLUTION NO.: 376, 2004
INTRODUCED BY: Mr. Roger Boor
WHO MOVED ITS ADOPTION
SECONDED BY: Mr. Tim Brewer
WHEREAS, William Shaw, Computer Technology Coordinator, has been out on sick
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leave/sick bank leave since February 25, 2004, and
WHEREAS, Mr. Shaw has exhausted all paid leave available to him, including all sick
leave bank leave, and
WHEREAS, Mr. Shaw has requested Town Board approval to take an unpaid medical
leave of absence as set forth in Warren County Civil Service Rule XIX, and
WHEREAS, Mr. Shaw has submitted medical documentation supporting a need for
medical leave, and
WHEREAS, the Town’s Director of Information Technology and Budget Officer have
recommended that the Town Board grant unpaid medical leave with an effective date of August
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6, 2004 extending through the earlier of:
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1.February 6, 2005; or
2.Certification of his physical qualification for return to work, documented by his
physician in form satisfactory to the Town;
and
WHEREAS, in accordance with Warren County Civil Service Rule XIX, Town Board
approval is discretionary and necessary before an employee may take such leave, 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 an unpaid
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medical leave of absence to William Shaw with an effective date of August 6, 2004 extending
through the earlier of:
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1.February 6, 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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January 20, 2005 of his intention to return to work or request further unpaid medical leave and
supply supporting documentation if he wishes to request additional unpaid leave beyond February
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6, 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 26 day of July, 2004, by the following vote:
AYES : Mr. Boor, Mr. Turner, Mr. Strough, Mr. Brewer, Mr. Stec
NOES : None
ABSENT : None