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Alternative Duties and/or Modifications to Work Environment for Pregnant Employees Form Employee Name: Employee No: Position: Location: Principal/Manager Name: Treating Medical Specialist Name: Alternative
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How to fill out alternative duties andor modifications

How to fill out alternative duties and/or modifications:
01
Start by reviewing the employee's current job description and identifying any tasks or activities that they may not be able to perform due to a disability or medical condition.
02
Consult with the employee's healthcare provider, if necessary, to better understand their limitations and any specific accommodations that may be needed.
03
Document the alternative duties and/or modifications that will enable the employee to continue working in a productive and safe manner. This may involve adjusting work hours, providing assistive devices or technology, or making changes to the physical workspace.
04
Clearly communicate the alternative duties and/or modifications to the employee, ensuring they understand what is expected of them and any changes that may be implemented.
05
Establish a process for ongoing evaluation and review of these accommodations, ensuring that they remain effective and relevant for the employee's needs.
Who needs alternative duties and/or modifications:
01
Employees with disabilities or medical conditions that may impact their ability to perform certain tasks or activities as outlined in their job description.
02
Workers who have experienced an injury or illness and require temporary modifications to their job responsibilities until they have fully recovered.
03
Individuals who may have limitations that prevent them from performing certain physical tasks, such as heavy lifting or repetitive motions.
04
Employees with mental health conditions that may require alternative duties or modifications to reduce stress or anxiety levels.
05
Pregnant employees who may need temporary adjustments to their job responsibilities to ensure their safety and the health of their unborn child.
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What is alternative duties and/or modifications?
Alternative duties and/or modifications are changes made to a job position or responsibilities to accommodate an individual's disability.
Who is required to file alternative duties and/or modifications?
Employers are required to file alternative duties and/or modifications for employees with disabilities.
How to fill out alternative duties and/or modifications?
Alternative duties and/or modifications can be filled out by HR departments or designated personnel using the appropriate forms provided by the company or relevant authorities.
What is the purpose of alternative duties and/or modifications?
The purpose of alternative duties and/or modifications is to ensure equal employment opportunities for individuals with disabilities by making necessary adjustments to accommodate their needs.
What information must be reported on alternative duties and/or modifications?
The information that must be reported on alternative duties and/or modifications includes the employee's name, job position, nature of disability, recommended adjustments, and any relevant medical documentation.
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