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Fitness for duty form 2026
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- Click ‘Get Form’ to open the Fitness for Duty Certification in our editor.
- In the section labeled 'This section to be completed by the EMPLOYEE', fill in your name, employee ID, employer name, leave number, and the dates for when your leave began and your expected return to work.
- Sign and date the form in the designated area to confirm your understanding that you cannot return to work without a release from your health care provider.
- Next, provide this form to your Health Care Provider. They will complete their section by certifying your ability to resume work and indicating any restrictions if applicable.
- Ensure that your Health Care Provider signs and dates the form before submission.
- Once completed, submit the form to your local HR or Manager on the day you return to work.
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fitness for duty form
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