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Get the free NOTICE OF OFFER OF MODIFIED OR ALTERNATIVE WORK

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This document serves as a notice for employees regarding an offer of modified or alternative work following a workplace injury, detailing the conditions and requirements related to the offer.
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How to fill out NOTICE OF OFFER OF MODIFIED OR ALTERNATIVE WORK

01
Obtain the NOTICE OF OFFER OF MODIFIED OR ALTERNATIVE WORK form from your employer or the relevant authority.
02
Fill in your personal details at the top of the form, including your name, address, and contact information.
03
Provide information about your current job role and the nature of your work-related injury or condition.
04
Describe the modified or alternative work being offered, including details such as job title, responsibilities, and hours.
05
Include any accommodations that may be necessary for you to perform the modified or alternative work.
06
Sign and date the form to confirm your acceptance of the offer.
07
Submit the completed form to your employer and keep a copy for your records.

Who needs NOTICE OF OFFER OF MODIFIED OR ALTERNATIVE WORK?

01
Employees who have sustained work-related injuries and are unable to perform their regular duties.
02
Employers who are providing modified or alternative work options to employees as part of a return-to-work program.
03
Workers' compensation professionals and legal representatives involved in the case.
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NOTICE OF OFFER OF MODIFIED OR ALTERNATIVE WORK is a formal document provided by an employer to an employee, offering a modified or alternative work arrangement as part of a return-to-work program after an injury or prolonged absence.
Employers who wish to provide modified or alternative work opportunities to employees who have been injured or are recovering from illness are required to file the NOTICE OF OFFER OF MODIFIED OR ALTERNATIVE WORK.
To fill out the NOTICE OF OFFER OF MODIFIED OR ALTERNATIVE WORK, employers must provide details about the job offer including the job title, description, duties, hours of work, pay rate, and any accommodations made for the employee's condition.
The purpose of the NOTICE OF OFFER OF MODIFIED OR ALTERNATIVE WORK is to facilitate the return of injured or ill employees to the workplace safely, while also demonstrating the employer's commitment to assist in the rehabilitation process.
The information that must be reported includes the employee's name, the nature of the work offered, job modifications or accommodations provided, the expected hours and pay rate, as well as a description of the job duties.
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