
Get the free RETURN-TO-WORK INTERVIEW FORM - Royal Holloway
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RETURNTOWORK
INTERVIEW From
A return to work interview is usually held if a member of staff has had 3 separate episodes of sickness absence within a
6-month period. The interview should take place
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How to fill out return-to-work interview form

How to fill out return-to-work interview form:
01
Start by providing your personal information such as your name, employee ID, and contact details.
02
Indicate the date of your return to work and any previous dates of absence.
03
Specify the reason for your absence, whether it was due to illness, injury, or personal reasons.
04
Describe the nature of your absence, including the specific condition or injury you experienced.
05
Outline any medical treatment or interventions that were necessary during your absence.
06
State whether you have fully recovered and are ready to resume your regular duties, or if any accommodations or modifications are needed.
07
If accommodations are required, provide details about the specific adjustments that would enable you to perform your job effectively.
08
Include any documentation or medical certificates that support your absence and recovery.
09
Sign and date the form to confirm the accuracy of the information provided.
Who needs return-to-work interview form:
01
Employees who have been on an extended leave of absence due to illness, injury, or personal reasons.
02
Individuals who have received medical treatment or required accommodations during their absence.
03
Employers or HR departments who need to track and document the return of employees to the workplace.
04
Organizations that prioritize employee health and safety and aim to facilitate a smooth transition back to work.
05
Companies that are required by law or company policy to conduct return-to-work interviews.
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What is return-to-work interview form?
Return-to-work interview form is a document filled out by an employee who is returning to work after a period of absence, typically due to illness or injury.
Who is required to file return-to-work interview form?
The employee who is returning to work after a period of absence is required to file the return-to-work interview form.
How to fill out return-to-work interview form?
The return-to-work interview form is typically filled out by the employee themselves, providing information about their absence and return to work.
What is the purpose of return-to-work interview form?
The purpose of the return-to-work interview form is to document the employee's absence, reasons for absence, and plans for returning to work.
What information must be reported on return-to-work interview form?
The return-to-work interview form may require information such as the date of absence, reason for absence, any medical certification, and return to work date.
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