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Risk Management DivisionReturn to Work / Transitional Duty FormOn (date)___, I (injured worker)___ met with (ACPS Representative)___ and (ACPS Representative)___ to discuss returning to work with
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01
Step 1: Access the return to work transitional form
02
Step 2: Read the instructions carefully
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Step 3: Fill out personal information such as your name, employee ID, and contact details
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Step 4: Provide the reason for your absence and the date you started the leave
05
Step 5: Indicate the expected date of return to work
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Step 6: Specify any restrictions or accommodations you may require
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Step 7: Sign and date the form
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Step 8: Submit the completed form to your manager or HR department

Who needs return to work transitional?

01
Employees who have been on leave due to illness or injury and are ready to transition back to work
02
Employees who have taken a sabbatical and are now returning to the workforce
03
Employees who have completed a maternity or paternity leave and are ready to resume their duties
04
Employees who have been on a long-term disability leave and have been cleared to return to work
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Return to work transitional refers to a program or strategy designed to help individuals who have been away from work due to injury, illness, or other circumstances to reintegrate into the workplace gradually.
Typically, employers who have employees participating in the return to work transitional program are required to file the necessary documentation.
To fill out return to work transitional forms, you need to provide details such as the employee's information, the nature of their injury or absence, the proposed return to work plan, and any accommodations needed.
The purpose of return to work transitional is to facilitate a smooth transition back to work for individuals recovering from a health-related issue, thereby promoting workforce participation and minimizing employment gaps.
Information that must be reported includes employee details, the circumstances of their absence, medical evaluations, the transition plan, and timelines for returning to work.
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