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sick leave for this purpose. Subsequently, the City will deduct an equal amount previously advanced from any sick leave accrued by the employee until the total amount is recovered. If the employee terminates before recovery of all advanced sick leave, the City will deduct the unrecovered cost of sick leave from such terminated employee's final paycheck, to the extent possible. If the workers' compensation related illness or injury continues past the initial three (3) consecutive days, the employee will have the three (3) sick days used re -credited back to his/her account. Paid sick leave at the prorated amount will continue until the fourth (4") day when the City pays the employee workers' compensation benefits for such illness or injury. c. The City may authorize employees to use sick leave, vacation, or compensatory time for approved workers' compensation medical appointments as specified herein. The City may authorize use of such leave for City approved medical appointments whenever such appointments cannot be secured outside the employee's regular workday, and salary continuation or workers' compensation benefits are not available. D. Limit Sick leave accrual will be capped at four hundred (400) hours. Sick leave usage shall be charged in minimum increments of a half (0.5) hour. Fractional usage under a half (0.5) hour shall be rounded up to the next higher multiple of a half (0.5) hour. E. Extended Use The City Manager may grant medical leave of up to six (6) months without pay to an employee who has exhausted all of his/her accumulated sick leave if a licensed physician indicates that the employee will be sufficiently recovered to return to his/her employment within a six (6) month period. Prior to the expiration of the additional time, the employee may return to his/her position provided that the employee has a medical certificate from a licensed physician stating that the employee is able to return to work and perform all the duties of his/her position without work restrictions. In addition to the above, the City Manager may grant an additional extension not to exceed a total of one (1) year without pay. Extension by Use of Accrued Compensatory Time Off and/or Vacation After an employee's sick leave has been exhausted, he/she may be granted permission to use any unused accumulated compensatory time off benefits and then any unused accumulated vacation leave. 1. 2019-2022 MOU City of Santa Ana F. ; i lJ Part -Time Civil Service Employees Unirwyr 20C-42 ?,[Weo