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FITNESS FOR DUTY TO RETURN FROM LEAVE CERTIFICATION ___ An employee on Family and / or Medical Leave because of his/her own medical condition must present this release to his/her supervisor prior
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How to fill out fitness for duty to

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To fill out a fitness for duty form, follow these steps:
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Start by providing your personal information such as name, date of birth, and contact details.
03
Specify the reason for the fitness for duty evaluation, whether it is for employment purposes or medical concerns.
04
Include any relevant medical history or conditions that may affect your ability to perform your duties.
05
Provide details about the specific job or duties that you are being evaluated for.
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If applicable, include any recent injuries or illnesses that may impact your fitness for duty.
07
Fill out any additional sections or questions related to mental health, substance use, or physical capabilities.
08
Sign and date the form to confirm the accuracy of the information provided.
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Submit the completed form to the appropriate recipient or organization responsible for conducting the fitness for duty evaluation.

Who needs fitness for duty to?

01
Fitness for duty evaluations may be required for various individuals and situations, including:
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- Employees returning to work after a medical leave or injury
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- Applicants for physically demanding jobs
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- Safety-sensitive positions such as pilots, bus drivers, or heavy equipment operators
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- Individuals involved in legal or court proceedings related to their mental or physical capacity
06
- Healthcare professionals who may be impaired due to substance use or mental health issues
07
Note that the specific requirements for a fitness for duty evaluation may vary depending on the organization and applicable regulations.
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Fitness for duty refers to the assessment and determination of an employee's capability to perform their job safely and effectively, considering their physical and mental health.
Employers are typically required to file fitness for duty assessments for employees who may have health issues impacting their ability to perform their job safely, especially in safety-sensitive positions.
Filling out fitness for duty typically involves completing a standardized form that details the employee's medical history, current health status, and any relevant treatment or accommodations, usually signed by a licensed healthcare provider.
The purpose of fitness for duty assessments is to ensure that employees are medically capable of performing their job duties without posing a risk to themselves or others, thus promoting workplace safety.
Reported information usually includes the employee's medical history, assessment results, any restrictions or accommodations needed, and the healthcare provider's recommendations.
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