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Modified Work Offer Employee Name: Date (dd/mm/yyyy): Our approach to modified work is designed to enable a return to work for an employee who has suffered an injury in the course of their employment.
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How to fill out sample modified duty letter

01
Start by addressing the letter to the appropriate individual or department.
02
Include the employee's name, job title, and the date of the letter.
03
Clearly state the reason for the modified duty request and provide any necessary details or restrictions.
04
Outline the specific duties or tasks that the employee will be expected to perform while on modified duty.
05
Include any accommodations or modifications that have been made to accommodate the employee's restrictions.
06
Clearly communicate the start and end date of the modified duty assignment, if applicable.
07
Close the letter with any additional information or instructions for the employee.
08
Sign the letter and include contact information for further communication.

Who needs sample modified duty letter?

01
Employees who have been injured on the job and are unable to perform their regular duties
02
Employers who need to provide modified work duties for injured employees in compliance with workers' compensation regulations
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A sample modified duty letter is a document provided to an employee outlining specific job duties and responsibilities that have been modified to accommodate a temporary injury or disability.
Employers are typically required to file sample modified duty letters for employees who are temporarily unable to perform their regular job duties.
To fill out a sample modified duty letter, employers should include the employee's name, job title, modified duties, expected duration of modified duties, and any other relevant information.
The purpose of a sample modified duty letter is to clearly communicate to the employee the changes in job duties resulting from a temporary injury or disability.
Information that must be reported on a sample modified duty letter includes details of the employee's regular job duties, the modifications being made, the duration of the modified duties, and any restrictions or limitations.
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