proposed therapy, and sets out its cost. The ABCC secretariat will forward the request to MSD for review and will then advise the claimant whether reimbursement for the treatments has been approved. In certain instances and, upon the recommendation of MSD and the ABCC, the Secretary-General may require the claimant to undergo an independent medical examination by a physician chosen by MSD. The cost of such an examination will be borne by the Organization.

- • other documentation, information or data requested which is relevant to • other documentation, information or data requested which is relevant to assessing the claim

Provided by Administrative / Executive Office:

- • action form which includes index number, functional title, duty station, • action form which includes index number, functional title, duty station, type of appointment, grade level, EOD, date of birth, marital status, recognized dependants and whether the staff member is enrolled in the UNJSPF
- • the claimant is a contractor or consultant, a complete copy of contract • the claimant is a contractor or consultant, a complete copy of contract
- • accident/investigation/security report which describes the circumstances • accident/investigation/security report which describes the circumstances of the accident/incident and which states whether the claimant was on official duty at the time of the accident/incident
- • and dated statement from the claimant’s direct supervisor as to whether the • and dated statement from the claimant’s direct supervisor as to whether the accident/incident occurred during the performance of official duties
- • and dated witness statements • and dated witness statements
- • authorization • authorization
- • for special sick leave credit: The granting of special sick leave • for special sick leave credit: The granting of special sick leave credit can be requested only if the staff member has exhausted entitlements to sick leave at full pay and requires additional sick leave (i) for a non-service-incurred illness or (ii) to bridge to separation under a Pension Fund disability. The dates of sick leave must be directly related to the injury or illness that is being claimed under Appendix D. The following information is required: the dates of sick leave; the exact date on which the entitlement to sick leave at full pay and, if applicable, at half-pay, is exhausted; and whether any days of annual leave were charged in order to remain on full-pay status.
- • for cases of harassment/abuse of authority: As it is not within the • for cases of harassment/abuse of authority: As it is not within the purview of the ABCC to verify an allegation of harassment or abuse of authority and as the Organization has established legislation, procedures and recourse for such allegations, claims based on such allegations are receivable by the ABCC only when the Organization has made a definitive finding of whether there has been harassment or an abuse of authority in a specific case. This finding may be in the form of a conclusion in an OIOS or BOA report, an independent investigation report, a UNDT or UNAT opinion or UN Ethics Office report. In the absence of such a definitive finding, claims based on allegations of harassment or abuse of authority are not receivable.