Get Work Release Form

Completing the Work Release Form online is essential for employees returning to work after a medical leave. This guide provides step-by-step instructions to ensure a smooth and efficient process for users of all backgrounds.

Follow the steps to successfully complete the Work Release Form online.

1. Click 'Get Form' button to obtain the form and open it in the editor.
2. Begin filling out the 'To Be Completed by the Employee' section, entering your name, UT EID number, shift, department, work phone, and home phone.
3. Provide the name of your supervisor in the designated field.
4. Review the statement regarding workplace restrictions and confirm your understanding by signing the form.
5. Indicate your last day worked and the current date in the appropriate fields.
6. Proceed to the 'To Be Completed by the Healthcare Provider' section, ensuring that the healthcare provider marks whether the condition is work-related.
7. The healthcare provider should indicate if you can return to work with or without restrictions and provide the necessary dates.
8. Fill out any specified work restrictions, including the ability to perform certain activities and the maximum weights for lifting or pushing/pulling.
9. The healthcare provider will sign and provide their contact information, including phone and fax numbers.
10. Once all fields are filled out, review the document for accuracy before saving your changes.
11. Download, print, or share the completed Work Release Form as required.

Complete your documents online today for a seamless return to work process.