*** ATTENTION MEMBERS OF SMART-TD GO953 ***

PLEASE FOLLOW THE FOLLOWING PROCESS FOR
REQUESTING UNPAID DAYS OFF FOR PREVENTATIVE
MEDICAL APPOINTMENTS AS ALLOWED UNDER THE
2022 NATIONAL AGREEMENT (PUBLIC LAW 117-216).
WHEN CARRIER HAS THEIR COMPUTER PROGRAMMING
COMPLETE TO ALLOW FOR SELF-SERVICE REQUESTS,
NEW INSTRUCTIONS WILL BE ISSUED.

EMAIL THE FOLLOWING INFORMATION AT LEAST 35
DAYS IN ADVANCE OF YOUR APPOINTMENT TO:

medical_layoff@utu953.org

OUR OFFICE WILL COMMUNICATE WITH CMS TO
ARRANGE FOR APPROVAL OF YOUR APPOINTMENT AND
THEN REPLY TO YOU. YOUR EMAIL MUST INCLUDE THE
FOLLOWING INFO:
• EMPLOYEE NAME
• EMPLOYEE ID#
• DATE OF APPOINTMENT
• ADDITIONAL INFORMATION REGARDING ANY
EXPECTED PREPARATION OR RECOVERY DAYS.

February 3, 2023