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Fit for duty form 2026
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- Click ‘Get Form’ to open the fit for duty form in the editor.
- Begin by entering the employee’s full name in the designated field. This ensures that the report is accurately attributed.
- Select the appropriate status by checking one of the options: 'May return to regular job', 'May return to limited-duty', or 'May not return to work at this time'. Complete the relevant items based on your selection.
- In section 1, indicate how many hours per day the employee can sit, stand, and walk. Circle the duration for each activity.
- Check the capacity for each activity listed under 'Employee is able to' and mark accordingly based on restrictions.
- Fill out lifting capabilities by checking the appropriate weight categories and indicating any restrictions.
- Provide physician comments or suggestions in section 6, and list any side effects from medications in section 7.
- Finally, ensure that all required fields are completed, including physician name and signature before saving or sharing your document.
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| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2012 | 4 Satisfied (30 Votes) |
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