Get the free Return to Work Authorization form - KU Human Resources

Name: Fillable Online Return to Work Authorization form - KU Human Resources Fax Email Print - pdfFiller
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Employee ID: CONFIDENTIAL WORKPLACE ACCOMMODATION MEDICAL FORM A. To be filled out by applicant or employee. I authorize my medical provider(s) to fill out section B below based on information from

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How to fill out return to work authorization

01

To fill out a return to work authorization, follow these steps:

02

Download or obtain the return to work authorization form.

03

Fill in personal information, such as your name, address, and contact details.

04

Provide details about your employer, including the company name, address, and contact information.

05

Indicate the date when you intend to return to work.

06

Specify any work restrictions or accommodations needed for your return.

07

Sign and date the form.

08

Submit the completed form to your employer or the appropriate HR department.

09

Make sure to review the form and double-check that all the information is accurate before submitting it.

Who needs return to work authorization?

01

Anyone who has been on an authorized leave of absence or medical leave and wishes to return to work needs a return to work authorization.

02

This may include individuals recovering from an injury or illness, new mothers returning from maternity leave, employees who took a sabbatical, or those who have been on long-term disability leave.

03

It is important to consult with your employer or HR department to determine if you require a return to work authorization in your specific situation.

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What is return to work authorization?

Return to work authorization is a formal document that allows an employee to return to work after being on leave or absence.

Who is required to file return to work authorization?

Employers are typically required to file return to work authorization for their employees.

How to fill out return to work authorization?

Return to work authorization forms can be filled out by providing the necessary information about the employee's return to work details.

What is the purpose of return to work authorization?

The purpose of return to work authorization is to ensure that the employee is fit to return to work and that the employer is aware of any restrictions or accommodations needed.

What information must be reported on return to work authorization?

Return to work authorization forms usually require information such as the employee's name, date of return, any medical restrictions, and any other relevant details.

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