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Light duty work restrictions form 2025

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The document is a Medical Status Report for the City of Madison, designed to facilitate the placement of injured workers into suitable light duty work based on medical restrictions. It includes sections for patient information, diagnosis, treatment details, and specific work limitations. The report aims to ensure that injured employees can return to work safely while adhering to their medical needs.

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Can an employer fire you for being on light duty?

The ADA requires employers to provide reasonable accommodations for employees with qualifying disabilities, including light duty assignments. If an employer terminates an employee on light duty without considering accommodations, it may constitute disability discrimination under the ADA.

Is light duty considered restricted work?

- OSHA does not use the term light duty. However, it seems that most companies define the term light duty to be a subset of restricted work activity. Cases involving the assignment of light duty should be evaluated using the OSHA recordkeeping definition for restricted work activity.

What is a CA 17 form used for?

The CA-17 was designed to provide the doctor with an accurate description of the physical work requirements of the injured letter carrier. The CA-17 is a legal document that determines both an injured workers medical restrictions and entitlement to wage-loss compensation benefits.

What is CA-17 form?

Federal Workers Compensation. Injured postal workers are required to fill in form CA-17, which is a form which outlines information from a doctor forbidding an injured federal employee from carrying out certain activities due to their inherently physically taxing nature.

Who fills out the CA7 form?

Form CA-7 is also used to claim leave buy back, schedule award or lost pay elements (ie, night differential, Sunday premium, holiday pay, etc). Form CA-7 should be submitted by an injured worker (IW) every two weeks while disabled and in a LWOP status, unless the IW has been placed on the periodic roll.

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Who fills out a CA-17?

There are two sides to the CA-17: Side A is completed by the employees supervisor and Side B is completed by the employees physician. A properly completed CA-17 should give the doctor an accurate picture of a workers daily work duties so that accurate work restrictions can be noted.

What is an example of a light duty restriction?

Light Duty After a Work Injury These are called work restrictions. They should be based on full and accurate information from you and your employer about the activities and demands of your job. They are intended to protect you from further injury. An example of this is no lifting over 50 pounds at any time.

What injuries are not covered by workers compensation in California?

Injuries that are self-inflicted, including those resulting from a fight that the injured party instigated or injuries that occur from being intoxicated or under the influence of drugs, are generally not covered under workers compensation.

Light duty work restrictions form 2025

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Can an employer fire you for being on light duty?

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What is a CA 17 form used for?

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