Get Return To Work Evaluation Seiu Employees - Montgomeryschoolsmd

Filling out the Return To Work Evaluation form is a crucial step for SEIU employees aiming to return to work after a medical leave. This guide will provide a clear and comprehensive overview of each section of the form, ensuring a smooth and efficient process for users.

Follow the steps to complete the form accurately and effectively.

1. Click ‘Get Form’ button to access the form and open it in your preferred editor.
2. In Part I, fill in your personal information including your name, employee ID, work location, job position, and contact numbers. If you need assistance with your job description, please refer to the Montgomery County Public Schools personnel department as indicated.
3. Proceed to Part II where a physician or health care practitioner must review your job description and complete their section. They will indicate the capacity in which you can return to work by selecting the appropriate statements.
4. In Part III, the physician will fill out the Work Activities Table, indicating your ability to perform various tasks and any restrictions. They will specify how many hours you can engage in each activity.
5. Finally, in Part IV, your employer will evaluate the information provided and either approve or not approve your return to work based on your job description and the restrictions stated. They will also provide their printed name, signature, and date of the review.
6. Once you have completed the form, review all entered information for accuracy. You can then save your changes, download the document, print it, or share it as required.

Complete your Return To Work Evaluation form online today to facilitate your return to work.