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TEMPORARY MODIFIED DUTY PLAN*:Date:Employee Name:List of Specific Restrictions: 1.4. 2.5. 3.6. Date Temporary Modified Duty Denied (If applicable):Dates of Approved Temporary Modified Duty:From: To:
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How to fill out transitional modified duty plan

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How to fill out transitional modified duty plan

01
Identify the employee who needs to be on transitional modified duty.
02
Review the employee's current job responsibilities and identify tasks that can be modified or eliminated for the transitional period.
03
Create a written plan outlining the modified duties and duration of the transitional period.
04
Consult with the employee's healthcare provider to ensure the plan aligns with any medical restrictions or limitations.
05
Implement the plan by assigning the employee to the modified duties and providing necessary training or accommodations.
06
Monitor the employee's progress and make any necessary adjustments to the plan.
07
Regularly communicate with the employee to ensure they understand their responsibilities and provide any support or guidance needed.
08
Evaluate the employee's readiness for full duty and gradually transition them back to their regular job responsibilities.
09
Document the entire process, including discussions, agreements, and any changes made to the plan.

Who needs transitional modified duty plan?

01
Employees who have experienced an injury or illness that temporarily prevents them from fully performing their regular job duties.
02
Employees who are undergoing medical treatment or rehabilitation and need a gradual transition back to full duty.
03
Employees with disabilities who require accommodations or modifications in their job duties.

What is TRANSITIONAL MODIFIED DUTY PLAN: - Kentucky Form?

The TRANSITIONAL MODIFIED DUTY PLAN: - Kentucky is a Word document you can get completed and signed for specific purposes. Then, it is provided to the exact addressee to provide specific information and data. The completion and signing can be done in hard copy by hand or with a suitable tool like PDFfiller. These services help to complete any PDF or Word file without printing out. While doing that, you can edit it according to your requirements and put a valid e-signature. Upon finishing, you send the TRANSITIONAL MODIFIED DUTY PLAN: - Kentucky to the respective recipient or several ones by mail or fax. PDFfiller includes a feature and options that make your Word template printable. It has different settings for printing out. It does no matter how you will deliver a form - in hard copy or electronically - it will always look professional and firm. In order not to create a new document from the beginning again and again, make the original form into a template. Later, you will have a rewritable sample.

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The transitional modified duty plan is a strategy used by employers to facilitate the return of injured employees to modified or transitional work duties while they recover, ensuring their reintegration into the workforce.
Employers who have employees with work-related injuries or illnesses and are implementing modified duty programs to assist with recovery and return to work are required to file a transitional modified duty plan.
To fill out a transitional modified duty plan, employers should provide detailed information on the job modifications available, the duration of the modifications, the tasks the injured employee can perform, and any support needed for the employee during their recovery.
The purpose of the transitional modified duty plan is to support injured employees in returning to work in a capacity that accommodates their recovery needs, reducing lost productivity and aiding in their rehabilitation process.
The transitional modified duty plan must report information such as the employee's job description, specific tasks that can be performed, anticipated duration of modified duties, and contact information for personnel involved in implementing the plan.
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