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RETURN TO WORK INTERVIEW FORM/SELF CERTIFICATION FORM DIVISION WARD/DEPARTMENT/UNIT EMPLOYEE INTERVIEWER ABSENCE COMMENCED ABSENCE ENDED REASON FOR ABSENCE HOURS/DAYS LOST TO BE COMPLETED BY EMPLOYEE
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How to fill out pdffiller return to work:
01
Open the pdffiller platform on your device.
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Search for the "Return to Work" form in the pdffiller library or upload it from your computer.
03
Begin by entering the required personal information, such as your full name, address, and contact details.
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Provide information about your previous employment, including the company name, position held, and dates of employment.
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Indicate the reason for your absence from work and the expected date of return.
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If applicable, describe any accommodations or modifications you may require upon your return to work.
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Sign and date the form to verify the accuracy of the information provided.
08
Review the completed form for any errors or missing details before saving or printing it for submission.
Who needs pdffiller return to work:
01
Employees who have been on a leave of absence and need to communicate their intentions to return to work.
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Employers who require documentation from employees regarding their return to work plans.
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Human resources personnel who need to track and manage employee absences and returns to work.
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