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RETURN TO WORK/INABILITY TO RETURN TO WORK POLICY This policy works in conjunction with the Leave Policy and the Employee shall refer to the appropriate Leave Policy for defined terms. This policy
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How to fill out modified dutyreturn to work
How to fill out modified duty return to work:
01
Obtain the modified duty return to work form from your employer or human resources department.
02
Read the instructions carefully to understand the required information and documentation.
03
Provide your personal information such as name, employee ID, job title, and contact details.
04
Indicate the date you are expected to return to work and the duration of your modified duty.
05
Describe your injury or medical condition that necessitates the need for modified duty.
06
Include any medical restrictions or limitations provided by your healthcare provider.
07
Specify the type of modified duty or accommodation you require in order to safely perform your job.
08
Provide any supporting documentation, such as medical reports or recommendations from your healthcare provider.
09
Sign and date the form, attesting that the information provided is true and accurate.
Who needs modified duty return to work:
01
Employees who have experienced a work-related injury or illness but are not completely incapacitated and can perform some job duties with accommodations.
02
Individuals recovering from a medical condition or surgery that temporarily limits their ability to perform their regular job duties.
03
Workers with disabilities who require reasonable accommodations in order to perform their job tasks effectively and safely.
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What is modified dutyreturn to work?
Modified duty/return to work refers to the process where an employee who has been injured or ill is given alternative job duties to accommodate their condition and facilitate their return to work.
Who is required to file modified dutyreturn to work?
Employers are generally responsible for implementing and overseeing the modified duty/return to work program.
How to fill out modified dutyreturn to work?
To fill out a modified duty/return to work form, employers should include details about the employee's condition, limitations, and the alternative job duties assigned.
What is the purpose of modified dutyreturn to work?
The purpose of modified duty/return to work is to help injured or ill employees ease back into the workforce by providing them with tasks they can safely perform.
What information must be reported on modified dutyreturn to work?
The modified duty/return to work form should include the employee's medical status, restrictions, approved tasks, and any accommodations provided.
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