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[DOC File]MSU Texas
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Return to Work Release Form. Non-work related illness or injury. Physician Certification. Upon return to work, employees absent more than three (3) work days due to illness must provide a physician's certificate or other written statement showing the cause or nature of the illness or injury and release for duty.
return back to work letter

[DOC File]LETTER ADVISING EMPLOYEE THEY HAVE EXHAUSTED THEIR …
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In accordance with _____’s policy on FMLA, and as noted in your initial FMLA letter of [date], we require all employees on leave to provide notice of their intent to return to work. You will need to provide a certification statement from your healthcare provider releasing you for work.
return to work note free

[DOC File]Sample Template for RTW Policy and Procedures
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For example, the workplace Return to Work Coordinator. Monitor safe work practices of workers who are returning to work. Answer co-workers’ questions and concerns about workers with disabilities, job modifications, job restructuring, etc., being careful to maintain the confidentiality of the worker’s situation.
release back to work note

[DOC File]WORKERS' COMPENSATION: MODIFIED-LIGHT DUTY …
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_____ Yes, I understand this agreement and I accept this work. I will comply with restrictions as prescribed by my treating physician. _____ No, I understand this agreement and I do not accept this . work alternate work position. Please note that refusal of this return to work offer may affect your workers’ compensation benefits.
return to work note pdf

[DOCX File]NOTICE TO RETURN TO MODIFIED DUTIES
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Notice -Return to Work. This letter is sent to employees to notify them that they have been released to return to work. The letter includes all information necessary to defend a termination petition should the employee not return to work as ordered by this letter. If the employee voluntarily returns to work, this letter is not required. Dear ...
release back to work letter

[DOC File]PHYSICIAN RETURN TO WORK LETTER
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(Company name) Return to Work Program provides assistance to our injured employees in accomplishing as expeditious and productive a return to work as possible. Everyone benefits when an injured employee returns to work. The employee’s self esteem, earning potential and co-worker relationships are maintained, and we retain a valuable employee.
return back to work note

Return to work note example