Get Return To Work Certificate

Completing a Return To Work Certificate is essential for any employee who has been absent due to illness for more than three consecutive workdays. This certificate, signed by a licensed healthcare practitioner, confirms the individual's fitness to resume their work duties.

Follow the steps to complete your Return To Work Certificate online.

1. Click the ‘Get Form’ button to access the Return To Work Certificate and open it in your online editor.
2. In the designated field, write the name of the person who has been unable to report to work. Ensure the name is spelled correctly to avoid any discrepancies.
3. Fill in the specific illness or reason for absence in the provided section. Describe the condition clearly to facilitate the healthcare provider's understanding.
4. The healthcare provider will need to certify the examination results. Ensure that the provider expresses that the individual is physically and mentally fit to return to work.
5. In the date section, indicate the exact date the individual is approved to return to full duty by entering the month, day, and year.
6. Have the healthcare provider sign the document where indicated. This signature validates the assessment.
7. Ensure the printed name of the healthcare provider is clearly written below their signature for reference.
8. Complete the address, city, state, zip code, and provide the New York State Registry Number of the healthcare provider.
9. Finally, the healthcare provider should enter the date of completion to confirm when the certificate was filled out.
10. Once all fields are accurately filled, review the document for any errors or omissions. Save changes, and choose to download, print, or share the completed certificate as needed.

Complete your Return To Work Certificate online today to ensure a smooth transition back to work.