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Sample Program Implementation Guide PMA Stay at Work IMPORTANT NOTICE: The following is intended only as general information for employers wanting to develop a StayatWork program and not for purpose
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How to fill out stay at work program

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How to fill out stay at work program?

01
First, gather all necessary information and documents for the stay at work program. This may include medical reports, work restrictions, and any other relevant paperwork.
02
Next, carefully read through the program guidelines and requirements. Make note of any specific forms or sections that need to be completed.
03
Fill out the personal information section accurately. This will typically include your name, address, contact details, and other identifying information.
04
Provide detailed information about your employment. This may involve indicating your job title, work schedule, and any relevant job duties or responsibilities.
05
Include any medical information or documentation required. This could involve attaching medical reports or doctor's notes that outline your work-related injury or illness, and any resulting restrictions or limitations.
06
Clearly describe the accommodation or modification requests you are seeking. This could involve explaining the specific workplace changes or adjustments needed to help you stay employed while recovering from your injury or illness.
07
Be prepared to provide any necessary supporting documentation, such as letters from healthcare providers, to further support your accommodation requests.

Who needs stay at work program?

01
Employees who have experienced a work-related injury or illness and require accommodation to continue working.
02
Individuals who have temporary work restrictions due to a medical condition or injury, but are still able to perform some or all of their job duties with reasonable workplace modifications.
03
Workers who want to remain productive and engaged in their job while recovering from a work-related injury or illness and avoid unnecessary absences or long-term disability.
Note: It is important to consult with your employer and follow any specific instructions or procedures they have in place for filling out the stay at work program.
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Stay at work program is a program designed to help employees who have been injured or become ill to return to work in a safe and timely manner.
Employers are required to file stay at work program for their employees who are eligible for the program.
Stay at work program can be filled out by the employer with information about the injured or ill employee, the accommodations needed, and the return to work plan.
The purpose of stay at work program is to facilitate the return to work of injured or ill employees, reduce absenteeism, and promote workplace safety.
Stay at work program must include details about the employee's injury or illness, the accommodations needed, and the plan for returning to work.
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