Print Form State of Colorado Fitness-To-Return Certification Instructions to Employee: Return this form to your department/institution before or on the day you return to work - colorado 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by entering your name and employee ID number in the designated fields at the top of the form.
3. Next, provide the date when your condition began. This is crucial for tracking your health status.
4. Select one of the options regarding your ability to return to work. Indicate if you can work full-time, need a reduced schedule, or cannot return yet.
5. If applicable, specify any restrictions in section (b). Fill out details such as lifting limits, duration of activities, and any other necessary accommodations.
6. Finally, ensure that a health care provider completes their section, including their signature and contact information.

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