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Modified Duties Request Office of the Executive Vice President and Provost revised August 2019 The university recognizes the need for all tenured and tenure track faculty members to balance the commitments of

How to fill out modified duties request

How to fill out modified duties request

1. To fill out a modified duties request, follow these steps:
2. Begin by clearly identifying yourself and providing your contact information.
3. Indicate the date on which the request is being made.
4. Describe the reason for requesting modified duties, providing specific details and any supporting documentation if necessary.
5. Outline the specific modifications or accommodations that you are seeking, explaining how they will enable you to continue working despite your limitations.
6. Acknowledge any potential challenges or concerns that may arise from the request and propose potential solutions or alternatives.
7. Sign and date the request, indicating your consent and understanding of the process.
8. Submit the completed form to the appropriate authority or department designated by your employer.

Who needs modified duties request?

1. Anyone who is experiencing temporary or permanent physical or mental limitations that affect their ability to perform their regular job duties may need to submit a modified duties request.
2. This can include employees recovering from injuries, individuals with chronic illnesses or disabilities, or those facing specific challenges that prevent them from carrying out their normal work responsibilities.
3. It is essential to consult with your employer or human resources department to determine the specific criteria for submitting a modified duties request within your organization.

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What is modified duties request?

A modified duties request is a formal application submitted by an employee or employer requesting adjustments to work duties or responsibilities due to specific circumstances, such as health issues or other temporary conditions.

Who is required to file modified duties request?

Employees who are unable to perform their regular job duties due to medical conditions, disabilities, or other qualifying circumstances are typically required to file a modified duties request.

How to fill out modified duties request?

To fill out a modified duties request, individuals should provide personal details, specify the nature of the condition affecting their ability to work, outline the proposed modifications to their duties, and submit any required medical documentation to support their request.

What is the purpose of modified duties request?

The purpose of a modified duties request is to enable employees to continue working in a capacity that accommodates their temporary limitations while ensuring workplace productivity and compliance with health and safety regulations.

What information must be reported on modified duties request?

The modified duties request must include the employee's personal information, a description of the condition affecting their work, specific modifications requested, and any supporting documentation from healthcare providers.