Central Oregon Community College Fitness for Duty Report 2012-2025 free printable template

OFFICE OF HUMAN RESOURCES Telephone (541) 383-7216 FAX (541) 317-3066 FITNESS FOR DUTY REPORT (To be completed by attending physician) Please Note: This document is designed to assist the College

How to fill out Central Oregon Community College Fitness for Duty

How to fill out Central Oregon Community College Fitness for Duty Report

1. Obtain the Central Oregon Community College Fitness for Duty Report form from the HR department or college website.
2. Begin filling out your personal information, including your full name, position, and contact details.
3. Indicate the purpose of the report in the designated section, such as a return to work or assessment request.
4. Complete the medical history section by providing relevant health information that may impact your ability to perform your job duties.
5. Have the report signed and dated by a licensed medical professional who conducted your evaluation.
6. Review the entire document for accuracy and completeness before submission.
7. Submit the completed form to the appropriate department, typically Human Resources, according to college policy.

Who needs Central Oregon Community College Fitness for Duty Report?

1. Employees who are returning to work after a medical leave or an absence due to health issues.
2. Individuals undergoing evaluation for potential fitness for their job functions.
3. Supervisors or management who may require documentation regarding an employee's fitness to work.

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What is Central Oregon Community College Fitness for Duty Report?

The Central Oregon Community College Fitness for Duty Report is a document used to assess an employee's ability to perform their job responsibilities safely and effectively, particularly in relation to physical or mental health concerns.

Who is required to file Central Oregon Community College Fitness for Duty Report?

Employees who exhibit concerning behavior, report physical or mental health issues affecting job performance, or are returning from a medical leave may be required to file the Fitness for Duty Report.

How to fill out Central Oregon Community College Fitness for Duty Report?

To fill out the report, employees should provide detailed personal information, outline the circumstances prompting the report, and include any relevant medical evaluations or statements from healthcare providers.

What is the purpose of Central Oregon Community College Fitness for Duty Report?

The purpose of the Fitness for Duty Report is to ensure that employees are mentally and physically fit to perform their job duties, thereby promoting a safe and efficient working environment.

What information must be reported on Central Oregon Community College Fitness for Duty Report?

The report must include the employee's personal details, the nature of the assessment, any applicable medical information, and recommendations or findings from healthcare professionals regarding the employee's fitness for duty.