Get Work Release Form - The University Of Texas At San Antonio

This guide provides step-by-step instructions for completing the Work Release Form for the University of Texas at San Antonio. It is essential for employees returning to work after a medical leave to follow these instructions carefully.

Follow the steps to complete the Work Release Form online.

1. Click the ‘Get Form’ button to access the Work Release Form and open it in your editor.
2. Begin by filling out the employee information section. Provide your last name, first name, middle initial, employee ID, and details about your normal work week including your shift begin time, division, department, hours per day, and shift end time.
3. In the physician's statement section, request your healthcare provider to assess and specify your maximum hours per day, lifting capacity, and any physical restrictions related to your job. They will detail your ability in areas such as bending, walking, sitting, and any restrictions regarding driving or machinery.
4. Ensure your healthcare provider indicates whether you can return to work with no restrictions or under specific modified conditions. It is also necessary to note the date restrictions can be re-evaluated or when they will end.
5. The physician will sign and date the form, including their printed name, phone number, and fax number to validate the release. Ensure all required fields in this section are completed.
6. Review all filled information for accuracy. Once confirmed, you can save changes, download the form, print it, or share it as per your need.

Complete your Work Release Form online today for a smooth transition back to work.