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Make edits, fill in missing information, and update formatting in US Legal Forms—just like you would in MS Word.

Download a copy, print it, send it by email, or mail it via USPS—whatever works best for your next step.

Sign and collect signatures with our SignNow integration. Send to multiple recipients, set reminders, and more. Go Premium to unlock E-Sign.

If this form requires notarization, complete it online through a secure video call—no need to meet a notary in person or wait for an appointment.

We protect your documents and personal data by following strict security and privacy standards.
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For example, it may include administrative tasks like client interfacing, filing, note taking, reporting, or safety-related tasks like workplace inspections. Alternatively, modified duty employees could become involved in workplace training or education programs.
________________ Dear [employee]: This memorandum is to confirm that we will temporarily accommodate your physical restrictions by modifying your regular job of ________________. Your health care provider has approved you to return to modified duties, as outlined in the attached medical report, dated ________.
Light duty is less demanding work, physically and/or mentally. An example would be answering phones instead of stocking shelves. Modified duty means work in which obstacles that prevent injured workers from carrying out their essential job duties are changed, adapted, or eliminated.
Dear Doctor's Name: We received a medical note from you dated Month, Date, Year. You indicated Injured Worker's Name is unable to return to work at this time. However, we would like to have our employee return to work and as such we have light duty work available.
This letter introduces you to the physician and informs him or her that your company is willing to offer light duty work to the injured worker. The letter requests that the doctor provide you with the employee's up-to-date work restrictions.