Light Duty For Work
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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.
Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.
Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.
If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.
We protect your documents and personal data by following strict security and privacy standards.
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How to fill out Light Duty Assignment Request?
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FAQ
Light duty is less demanding work, physically and/or mentally. An example would be answering phones instead of stocking shelves. Modified duty means work in which obstacles that prevent injured workers from carrying out their essential job duties are changed, adapted, or eliminated.
Five common examples include: the worker's old job, but without any strenuous duties, a desk job, taking inventory, working as a parking attendant, or. handling customer service calls.
This letter introduces you to the physician and informs him or her that your company is willing to offer light duty work to the injured worker. The letter requests that the doctor provide you with the employee's up-to-date work restrictions.
________________ Dear [employee]: This memorandum is to confirm that we will temporarily accommodate your physical restrictions by modifying your regular job of ________________. Your health care provider has approved you to return to modified duties, as outlined in the attached medical report, dated ________.
RTW programs include temporary light-, limited- and modified-duty assignments. Light duty typically involves excusing an employee from performing certain tasks that he or she would normally perform. Limited duty may reduce the number of hours that someone normally works in a day.
