Solicitud de Asignación de Trabajo Ligero - Light Duty Assignment Request

State:
Multi-State
Control #:
US-189EM
Format:
Word
Instant download

Description

Este formulario debe ser utilizado por un empleado que solicita una asignación de trabajo liviano debido a problemas de salud. Para su conveniencia, debajo del texto en español le brindamos la versión completa de este formulario en inglés. For your convenience, the complete English version of this form is attached below the Spanish version.

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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.

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We protect your documents and personal data by following strict security and privacy standards.

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Solicitud de Asignación de Trabajo Ligero