Follow the steps to complete the Fitness For Duty Form with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the first section, input the employee's name and date of birth. Ensure that you provide accurate information as it will be critical for identification.
3. Fill in the job title and department of the employee. This information helps in understanding the specific physical demands of the job.
4. In section I, indicate the physical activities required for the job. Select the percentage that reflects how often each activity is performed during an average workday.
5. Section II focuses on repetitive hand and wrist activities. Similar to section I, mark the frequency with which each activity occurs.
6. In section III, assess the working conditions related to the job. For each condition listed, indicate whether it applies and provide a description as needed.
7. Proceed to section IV to note the physical skills and abilities required, specifically regarding vision, hearing, and speaking.
8. Complete section V by selecting the skills and abilities that are relevant to the job. Indicate whether interaction with customers, communication skills, and decision-making capabilities are required.
9. In section VI, provide any additional comments that may help clarify the requirements of the job.
10. For section VII, the employee must acknowledge their permission for the supervisor to contact their healthcare provider for clarification. Include the date and employee's signature.
11. In section VIII, the supervisor will print their name, sign the document, and include their title and date of signing.
12. Finally, save your changes, download the completed form, or print it for submission as necessary.

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