Get Md Opt & Slt Units Request For Light Duty For Bargaining Unit Employees 2021-2026

This guide provides clear instructions for completing the MD OPT & SLT Units Request For Light Duty For Bargaining Unit Employees form online. By following these steps, you will be able to efficiently navigate the process and submit your request with confidence.

Follow the steps to fill out the request form with ease.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In the designated field, enter your department name.
3. Fill in the current date accurately.
4. Complete the employee name field with your full name.
5. Enter the last four digits of your Social Security Number in the appropriate field.
6. Provide your current address.
7. Fill in your phone number.
8. Specify your department.
9. Indicate your current position.
10. Complete the supervisor's name field.
11. Provide the phone number of your supervisor.
12. Sign the form in the employee signature section.
13. Date your signature appropriately.
14. The department must check the availability of light duty and indicate 'Available' or 'Not Available'.
15. The department must indicate if you are full-time or part-time.
16. If light duty is not available, the department must refer you to the Light Duty Committee.
17. Add any comments in the comments section if necessary.
18. Have your supervisor sign and date the form.
19. Make sure to email a copy of the completed form to the Disability Program Manager at the specified email address.
20. Finally, ensure you save changes, then download, print, or share the completed form as needed.

Complete your request for light duty online today.