Get Ie Hse Hr113 2014

The IE HSE HR113 form is essential for individuals applying for extended paid sick leave under the Critical Illness Protocol. This guide provides clear, step-by-step instructions to help you complete the form accurately and efficiently.

Follow the steps to fill out the form online.

1. Click the 'Get Form' button to access the form and open it in an editable format.
2. In Section 1, enter your surname, first name, PPS number, date of birth, personnel number, and grade. Indicate your place of work and confirm your application for extended paid sick leave by selecting 'Yes' if you have attached a medical certificate from your treating consultant.
3. In Section 2, your line manager should confirm whether you have been referred to Occupational Health and if Occupational Health has advised that the Critical Illness Protocol criteria are met. They need to include the date of the last review and provide their signature, date, name, grade, contact telephone number, and email address.
4. In Section 3, the Hospital Manager or General Manager must indicate whether they approve or reject the application and provide the grounds for approval if accepted. This section also requires a signature, date, name, grade, contact telephone number, and email address.
5. In Section 4, the Employee Relations Manager or equivalent should review the application, indicating approval or refusal, alongside providing a reason for any refusal. Their signature, date, name, grade, contact telephone number, and email address are also required.
6. Section 5 must be completed by the line manager, who is responsible for communicating the outcome of the application to the employee and emailing copies of the form to both local Employee Relations and local Personnel Records. They need to document their actions by marking each task as done.
7. In Section 6, ensure the SAP HR System is updated with the application details if it has been approved, including verifying and documenting the updates.
8. Complete the Critical Illness Protocol Declaration, answering whether you are in receipt of any retirement benefits or preserved pensions from any Irish Public Service Pension Scheme. Include details of your pension entitlements and sign the declaration.
9. Once all sections have been completed, save your changes, download the form, print a copy for your records, or share it as needed.

Start filling out the IE HSE HR113 online to manage your extended paid sick leave application.