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FITNESS FOR DUTY CERTIFICATION (MD 201) TO BE COMPLETED BY THE EMPLOYEE Employee\'s Information:Physician\'s Information:Name: Address: City: State: Zip Code: ID No: Phone No: Position: Dept: Is your
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Fitness for duty certification is a formal evaluation process that determines whether an individual is physically and mentally capable of performing their job duties safely and effectively.
Typically, employees in safety-sensitive positions or those who have undergone a medical evaluation due to a potential impairment are required to file fitness for duty certification.
To fill out fitness for duty certification, an employee or their healthcare provider must complete the designated form, providing details about the individual's medical condition, any accommodations needed, and their ability to perform essential job functions.
The purpose of fitness for duty certification is to ensure that employees are capable of safely performing their job responsibilities, thus reducing the risk of accidents or injuries in the workplace.
Fitness for duty certification typically requires reporting on the individual's medical history, any treatments or medications, and an evaluation of their ability to perform job-related tasks.
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