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MODIFIED DUTY JOB OFFER Employee Name: Beginning Date: Injury: Date of Injury: You have claimed a job related injury×illness for which you are being provided medical care. Medical documentation from

How to fill out modified duty job offer

How to fill out a modified duty job offer:

1. Start by gathering all the necessary information about the employee, such as their name, job title, and current employment status.
2. Clearly define the modified duty being offered, including any specific tasks, responsibilities, or limitations. This should be in line with the employee's medical restrictions or limitations.
3. Specify the duration of the modified duty assignment, whether it is temporary or permanent.
4. Clearly state the terms and conditions of the modified duty, including the employee's compensation, hours of work, and any other relevant details.
5. Include a section for the employee to sign and acknowledge their understanding and acceptance of the modified duty offer.
6. Ensure that the modified duty job offer is compliant with any applicable labor laws or regulations.
7. Provide a contact person or department for the employee to reach out to in case of any questions or concerns.
8. Keep a copy of the filled-out modified duty job offer in the employee's personnel file for future reference and documentation purposes.

Who needs a modified duty job offer?

1. Employees who have sustained an injury or have a medical condition that limits their ability to perform their regular job duties.
2. Individuals transitioning back to work after a period of disability or leave.
3. Employees who have been medically cleared to return to work but require accommodations or adjustments to perform their job tasks safely.

Note: It is always advisable to consult with legal or HR professionals to ensure compliance with applicable laws and regulations when filling out a modified duty job offer.

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What is modified duty job offer?

A modified duty job offer is an offer of alternative work that is modified to accommodate an employee's restrictions or limitations due to a temporary medical condition or injury.

Who is required to file modified duty job offer?

Employers are required to file a modified duty job offer when an employee is unable to perform their regular job duties due to a medical condition or injury.

How to fill out modified duty job offer?

To fill out a modified duty job offer, employers should include details of the alternative work being offered, the specific job duties, and any adjustments made to accommodate the employee's restrictions.

What is the purpose of modified duty job offer?

The purpose of a modified duty job offer is to help employees return to work sooner by providing them with alternative tasks that are within their physical capabilities.

What information must be reported on modified duty job offer?

On a modified duty job offer, employers must report details of the alternative work, the duration of the modified duties, and any adjustments to the employee's regular job duties.