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Health Services
7060 Camp Bowie Boulevard, Fort Worth, Texas 76116
OFFICE 817.8142990
www.fwisd.orgRETURN TO WORK INFORMATION FORM
Employee to Complete Form
Basic Information: (please print and complete
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How to fill out return to work information

How to fill out return to work information
01
Gather all relevant information about your return to work, such as the date you plan to return, your anticipated work schedule, any work restrictions or accommodations you may require, and any necessary medical documentation.
02
Contact your employer or human resources department to inform them of your intention to return to work and request the necessary forms or documentation.
03
Carefully review the return to work forms provided by your employer and fill them out accurately. Provide all requested information, ensuring that it is legible and complete.
04
If you have any specific concerns or requirements related to your return to work, make sure to clearly communicate them in the appropriate section of the forms.
05
Attach any required medical documentation or doctor's notes that support your return to work, if applicable.
06
Double-check all the information you have provided to ensure its accuracy.
07
Submit the completed return to work forms to your employer or human resources department as instructed.
08
Keep a copy of the submitted forms for your own records.
09
Follow up with your employer or human resources department to confirm that they have received and processed your return to work information.
Who needs return to work information?
01
Employees who have been on a leave of absence or a disability-related absence and are planning to return to work.
02
Individuals who have had a work-related injury or illness and are ready to resume their job duties.
03
Anyone who is transitioning from temporary disability benefits to regular employment.
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What is return to work information?
Return to work information refers to the documentation and data that employers are required to provide regarding an employee's return to the workplace after a period of absence, often related to injuries, illnesses, or disabilities.
Who is required to file return to work information?
Employers who have employees returning to work after a period of leave due to medical reasons or any other qualifying absence are typically required to file return to work information.
How to fill out return to work information?
To fill out return to work information, employers generally need to complete specific forms provided by regulatory bodies, which may include details about the employee's medical condition, work capacity, and any necessary accommodations.
What is the purpose of return to work information?
The purpose of return to work information is to ensure that employees return to a safe working environment that is accommodating of their health needs, while also helping employers comply with legal and regulatory obligations.
What information must be reported on return to work information?
Information that must be reported typically includes the employee's medical history relevant to their work capacity, any limitations or restrictions, anticipated return dates, and required accommodations.
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