Collin College Fitness for Duty/Return to Work Form 2019-2024 free printable template
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Fitness for Duty/Return to Work Form Medical authorization from attending physician is required for employees returning to work from family and medical leave. This form must be returned to Human Resources prior to or before returning to work. Employee Section Employee Name/Patient Last First CWID Date of Injury/Illness / / Physician Section May resume work at full duty without restrictions effective date / / Normal shift regular duties Expected duration of accommodations is Full Time OR...
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How to fill out return to work form
How to fill out fit to return to
01
Make sure you have completed treatment and received clearance from your doctor
02
Obtain a fit to return to work form from your employer
03
Fill out the form with your personal information, including your name and contact information
04
Provide details about your medical condition and treatment received
05
Sign and date the form before submitting it to your employer
Who needs fit to return to?
01
Employees who have been on medical leave and are required to provide proof of fitness to return to work
02
Individuals who have been off work due to injury or illness and need to document their readiness to resume job duties
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