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Get the free Fitness for Duty Release Form (FMLA) - lafourchegov

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FITNESS FOR DUTY Please ask your doctor to complete this form, and return it to the Human Resources office when you return from your absence due to a serious health condition. If leave is for a Pregnancy
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Fitness for duty release is a document that certifies an individual's ability to perform their job duties safely and effectively after a period of absence or illness.
Employees who have been on leave or have had a medical condition that may affect their ability to perform their job duties are required to file a fitness for duty release.
To fill out a fitness for duty release, the employee must provide their personal information, medical history, and any relevant medical documentation from their healthcare provider.
The purpose of fitness for duty release is to ensure the safety and productivity of the employee and their coworkers by determining if the employee is physically and mentally fit to return to work.
A fitness for duty release should include the employee's personal information, diagnosis or condition, treatment plan if applicable, and any restrictions or accommodations that may be necessary for the employee to safely perform their job duties.
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