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PINE BLUFF POLICE DEPARTMENT POLICY & PROCEDURES MANUAL POLICY NUMBERSUBJECT: TEMPORARY LIGHT TISSUE DATE 02 19/2008CHAPTER: ADMINISTRATION & PERSONNELEFFECTIVE DATE 02 19/2008ISSUED By:TOTAL PAGESChief
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How to fill out temporary light duty?

01
Obtain the necessary forms from your employer or human resources department.
02
Read the instructions carefully to ensure that you understand the requirements and expectations for temporary light duty.
03
Provide your personal information, including name, employee ID, department, and contact details.
04
Clearly state the reason for your request for temporary light duty, such as a work-related injury, medical condition, or disability.
05
Attach any medical documentation or supporting evidence that is required to validate your need for temporary light duty.
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Specify the dates during which you will require temporary light duty, noting the start and end dates.
07
Provide details about any work restrictions or limitations you may have, as recommended by your healthcare provider or as approved by your employer.
08
Include any additional information requested on the form, such as alternative job duties or accommodations you may require.
09
Review the completed form for accuracy and ensure that you have not missed any sections or questions.
10
Submit the form to the appropriate department or individual, as specified by your employer's policies and procedures.

Who needs temporary light duty?

01
Employees who have suffered a work-related injury and need temporary relief from their regular job duties.
02
Individuals with medical conditions or disabilities that prevent them from performing their regular job functions temporarily.
03
Pregnant employees who require accommodations to their work environment or activities in order to protect their health and the health of their unborn child.
04
Individuals recovering from surgeries or medical procedures that temporarily limit their physical activities at work.
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Employees who are participating in an approved rehabilitation program as part of their recovery process.
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Individuals with chronic illnesses or conditions that intermittently worsen, requiring them to take temporary light duty to manage their symptoms.
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Employees who are transitioning back to work after a prolonged absence, such as parental leave or extended medical leave, and need a gradual return to full workplace responsibilities.
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Individuals who are temporarily unable to perform their regular job duties due to extenuating circumstances, such as personal trauma or bereavement.
Overall, temporary light duty is relevant to employees who require temporary accommodations or modifications to their regular job responsibilities due to injury, illness, disability, or other extenuating circumstances.
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Temporary light duty is a work assignment given to an employee who is temporarily unable to perform their regular job duties due to a medical condition or injury.
Employers are required to file temporary light duty for their employees who are unable to perform their regular job duties.
Temporary light duty forms can be filled out by the employer or employee with details of the medical condition or injury, the work restrictions, and the proposed temporary job duties.
The purpose of temporary light duty is to provide employees with alternative work assignments so they can continue working while recovering from a medical condition or injury.
Information such as the employee's name, medical condition or injury, work restrictions, proposed temporary job duties, and the duration of the temporary light duty assignment must be reported on the form.
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