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[DOCX File]Health and Safety Policy Statement
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Sample Letter to Employee. Date Dear Employee's Name, We are concerned to hear of your recent injury. We wish to assist you in your recovery and have you return to your regular duties when appropriate. We have provided you with the following information package that includes, Letter to Physician: This form explains the light duty program to the physician and authorizes the physician to ...
return to work letter examples

[DOC File]Sample Offer of Suitable Employment - OSACH
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Sample Offer of Suitable Employment [Company Letterhead] [Date] [Employee name and mailing address] Re: Offer of Suitable Employment Dear [Employee name]: After reviewing information provided by your health care provider, we are pleased to offer you the following temporary work assignment. We believe it is within your capabilities. You will only be assigned tasks consistent with your physical ...
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[DOC File]Sample Letter to Health Care Provider
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Sample Letter to Health Care Provider [Company letterhead] [Date of letter] [Doctor's name and address] Subject: [Employee's name and date of injury] Dear Dr. _____________: [Company name] has a return to work program for our injured or ill employees that is designed to return them safely to medically appropriate work as soon as possible.
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[DOCX File]SAMPLE MODIFIED DUTY/RETURN TO WORK PROGRAM
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A letter or memorandum notifying the injured employee/volunteer of the modified duty/return to work assignment must always follow the oral notification. If the injured employee/volunteer refuses the modified/light duty assignment then the TPA will be advised by the District and the employee’s temporary disability benefits may be impacted.
employers return to work letter

[DOC File]WORKERS' COMPENSATION: MODIFIED-LIGHT DUTY AGREEMENT
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Employee Name _____ Date: _____ Employer: _____ We have received your treating physician's medical report dated_____which allows you to return to work within your current abilities. We have a temporary position, which follows the medical restrictions given by your doctor. Refer to the following job duties/tasks for details or you may refer to the job analysis attached. Job Duties/Tasks ...
return to work letter examples

[DOC File]Sample Offer of Suitable Employment - OSACH
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[Date] [Employee name and mailing address] Re: Offer of Suitable Employment Dear [Employee name]: This letter is to confirm our discussion on _____ (date) regarding your Case Plan for Return to Work. I have attached a copy of the case plan with this letter. As we agreed your tasks will be assigned consistent with your functional abilities, skills and knowledge. If any training or skills ...
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[DOC File]Sample Template for RTW Policy and Procedures
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Sample Letter to Health Professional. Sample Offer of Suitable Employment. Sample RTW Plans. Functional Abilities Form . Physical Demands Information Form . REFERENCE MATERIALS What materials were referenced when developing the policy and procedures for the company’s RTW program? Example . Workplace Safety and Insurance Act – RTW sections. RTW Self-assessment Guide. WSIB …
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Rtw letter to employee sample