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Return to Work Planning Template Department/Office Please upload completed document at https://www.uwsp.edu/facsv/Pages/Fall2020BuildingReOpening.aspx1. Department and contact information Department

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How to fill out return to work planning

01

Identify the employee's medical restrictions and limitations

02

Determine suitable accommodations or modifications needed for the returning employee

03

Develop a gradual return to work schedule

04

Communicate with the employee's healthcare provider for guidance

05

Document the return to work plan and monitor progress

Who needs return to work planning?

01

Employees who have been on medical leave

02

Employees who have undergone surgery or medical treatment

03

Employees with disabilities or chronic health conditions

04

Employees with work-related injuries

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What is return to work planning?

Return to work planning is the process of creating a plan to help employees return to work after an injury, illness, or other absence.

Who is required to file return to work planning?

Employers are required to file return to work planning for their employees.

How to fill out return to work planning?

Return to work planning can be filled out by gathering information about the employee's medical status, restrictions, and accommodations needed.

What is the purpose of return to work planning?

The purpose of return to work planning is to facilitate a safe and smooth transition back to work for employees.

What information must be reported on return to work planning?

Return to work planning must include details about the employee's medical condition, work restrictions, and any accommodations needed.

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