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WORK RESTRICTIONS FORM Please fill in the sections that are applicable Employee Name Location Employee Number Employee has restrictions Yes Posture/Movement No Estimated duration of the restrictions?.

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If your employer cannot give you work that meets the work restrictions, the claims administrator must pay temporary total disability benefits (see Chapter 5). If you have questions or need help, use the resources in Chapter 10. Don't delay, because there are deadlines for taking action to protect your rights.

If a vehicle has a gross vehicle weight rating under 8,500 pounds (the maximum loaded weight it can carry including passengers), then it counts as a light-duty truck. If it has a GVWR over 8,500 pounds, then it counts as a heavy-duty truck even if the truck itself weighs under 10,000 pounds.

Just a few examples of light-duty work include: Taking inventories. Performing office tasks. Working a desk job. Supervising and reporting on job sites. Monitoring surveillance cameras. Performing machinery/equipment maintenance.

Generally, "light duty" refers to temporary or permanent work that is physically or mentally less demanding than normal job duties (EEOC, 1996). Is an individual with a workers' compensation injury protected under the ADA?

Definition: A period when a Service member reports to their work space but is excused from performing certain aspects of military duties.

If the employer can not or chooses not to provide the worker with a job that accommodates these restrictions the worker is entitled to be paid TPD at the rate of sixty-four percent (64%) of the AWW.

If you quit while on workers' compensation, you lose the right to collect temporary disability benefits. Workers who suffer severe injuries on the job may be given a permanent disability rating. If you have a permanent disability, quitting before your condition stabilizes could reduce the amount you ultimately receive.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232