Return To Work With Restrictions Letter

State:
Multi-State
Control #:
US-225EM
Format:
Word; 
Rich Text
Instant download

Description

This form is used by an immediate supervisor to record information during a return to work interview.

How to fill out Return To Work With Restrictions Letter?

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FAQ

If you are unable to perform the work, even though it is within your work restrictions, you should contact your doctor immediately to get updated restrictions. If your employer is unable to accommodate your work restrictions, you may be entitled to wage loss benefits during this time period.

How to write a return to work letterAddress the letter to the correct person.Thank them for authorizing your work leave.Attach the proper documentation.Mention how you plan to get reacclimated.Close the letter with gratitude.

Dear Employee name, I hope this notice finds you safe and well during this unprecedented time. While we have all been working remotely over the past few months, we are pleased to announce Company name has begun the process of reopening our buildings and returning employees to the workplace.

I believe my continued role in the organization can significantly help grow this business. With every passing day, I feel molded into my position through the extensive training and knowledge I have received. Thank you for the chance to be part of this amazing company and wish for its continued success.

Examples of work restrictions include:No lifting more than 30 pounds.No lifting more than 20 pounds more than 5 times in one hour.No standing for longer than 2 hours.No climbing, squatting, or kneeling.No reaching above shoulder level.

More info

You don't have to return to work if your authorized healthcare provider does not approve it. Sometimes, employees can go back before full recovery.When a doctor approves an employee for light or modified duty, they may perform limited job duties. Also known as "full duty recovery" policies and "no restrictions" policies. If your employer cannot give you work that meets the work restrictions, the claims administrator must pay temporary total disability benefits (see Chapter 5).

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Return To Work With Restrictions Letter