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illness  or  injury  be  medically  examined  by  a  physician  selected by the

        appointing authority before such employee is allowed to return to work, the

        appointing authority shall make a reasonable effort to complete a medical
        examination within 20 working days as hereinafter provided.

            (b) If, no more than 10 working days prior to the date specified by the
        employee's own physician as the date upon which the employee may return

        to work, the employee provides the appointing authority with his or her
        physician's statement indicating that the  employee is able to return to work

        and specifying the date, the appointing  authority shall have a total of 20
        working days from the date of such advance notice, which shall include the

        10 working days following the specified return-to-work date, to complete a
        medical  examination. For  each  working  day  of  advance  notice  from  the

        employee less than 10, the appointing authority shall have an additional
        working  day beyond the return-to-work date  to complete a  medical

        examination.
            (c) If, upon the completion of the 20 working day period provided for in

        section 10.17(b), the appointing authority's physician has not completed an
        examination  of  the  employee  or  reached  a  decision concerning  the

        employee's  return  to  work,  the  employee  shall  be placed  on  leave  with
        pay without charge to leave credits until the examination is completed and

        a decision is made. The  employee may not return to work, however, until
        the employee has been  examined by the appointing authority's physician

        and given  approval to work.  The leave with pay provision of this section
        shall not apply where the failure of the appointing authority's physician to

        complete the medical examination is attributable to the employee's failure

        to appear for the examination or the employee's refusal to allow it to be held.
            (d) If, following the employee's examination, the appointing  authority's
        physician does not approve the employee's return to  work, the employee

        shall be  placed in  the appropriate leave  status in  accordance  with  the

        Attendance Rules.  Once a determination has been made that an employee
        may not return to work, further examinations pursuant to this Article shall
        not be required more often than once a month; provided, however, where

        the appointing  authority's physician has specified a date for  a further

        examination or a  date when  the  employee  may  return  to  work  the  State
        shall  not  be required to conduct an examination prior to that date. Where

        the appointing  authority's  physician  has  not  set  either  a  date  for  further


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