Pennsylvania Return to Work Interview Form

State:
Multi-State
Control #:
US-225EM
Format:
Word; 
Rich Text
Instant download

Description

This form is used by an immediate supervisor to record information during a return to work interview.

How to fill out Return To Work Interview Form?

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FAQ

The most common types of employment forms to complete are:W-4 form (or W-9 for contractors)I-9 Employment Eligibility Verification form.State Tax Withholding form.Direct Deposit form.E-Verify system: This is not a form, but a way to verify employee eligibility in the U.S.

The Unemployment Compensation (UC ) program provides temporary income support if you lose your job through no fault of your own or if you are working less than your full-time hours. If you qualify, you will receive money for a limited time to help you meet expenses while you seek new employment.

This form is used by NON-TPA's to change an employer's UC benefit's address. UC-1609 (PDF): Employer Information Form Size=153k You must provide this completed form to separating employees and/or employees working reduced hours. It provides accurate information for use when unemployment claims are filed.

A new Pennsylvania law (Act 9 of 2020) requires Pennsylvania employers to provide notice to employees about unemployment compensation benefits at the time of separation from employment or when an employee's work hours are reduced.

PA Employer UC Account Number This seven-digit number is shown on the New Employer Confirmation Letter (Form UC-1408), Notice of Pennsylvania Unemployment Compensation Responsibilities (Form UC-851), and the Contribution Rate Notice (Form UC-657).

Required Employment Forms in PennsylvaniaSigned Job Offer Letter.W2 Tax Form.I-9 Form and Supporting Documents.Direct Deposit Authorization Form (template here)Federal W-4 Form.Pennsylvania New Hire Reporting Form.Employee Personal Data Form (template here)Company Health Insurance Policy Forms.More items...?

Work registration and work search requirements have been re-instated in Pennsylvania starting on Sunday, July 11 for both UC and PUA. During most of the pandemic, the requirement that unemployment claimants complete weekly work search was waived.

A return to work form is used to document information about employees coming from a prolonged period of absence (e.g. due to injury or sickness) and their ability to return to work and fulfill their job duties. It is either used for self-certification or as a tool during return to work interviews.

Employees must submit basic information including name, Social Security number and citizenship status. Employees also must supply documentation along with this form to prove they are eligible to work in the United States. Documentation examples include a current passport, state issued I.D. and Social Security card.

Employers must report all employees who reside or work in Pennsylvania to the Pennsylvania Department of Labor and Industry. Visit Pennsylvania Career Link's New Hire Reporting Program homepage for more information and instructions on reporting or Contact Us.

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Pennsylvania Return to Work Interview Form