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State of Connecticut Talent Solutions Certification Documentation Form #: CTHR2 Revision Date: January 2022 Effective October 30, 2017, WAS partially delegated the job certification process, subject
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To fill out a medical certificate return to, follow these steps:
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Start by writing the date at the top of the form.
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Provide details about the illness or medical condition that required your absence.
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Include the dates of your absence and the dates you are expected to return to work or school.
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A medical certificate return to is a document that certifies an individual’s fitness to return to work after a medical leave.
Employees who have been on medical leave and are planning to return to work are required to file a medical certificate return to.
To fill out a medical certificate return to, employees need to provide details about their medical leave, including the reason for the leave and any restrictions or accommodations needed for their return to work.
The purpose of a medical certificate return to is to ensure that employees are medically cleared to return to work and to provide information to employers about any necessary accommodations.
Information that must be reported on a medical certificate return to includes the reason for the medical leave, any restrictions or accommodations needed for the employee’s return to work, and the healthcare provider’s certification of the employee’s fitness to return to work.
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