Fit for duty form 2026

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  1. Click ‘Get Form’ to open the fit for duty form in the editor.
  2. Begin by entering the employee’s full name in the designated field. This ensures that the report is accurately attributed.
  3. 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.
  4. In section 1, indicate how many hours per day the employee can sit, stand, and walk. Circle the duration for each activity.
  5. Check the capacity for each activity listed under 'Employee is able to' and mark accordingly based on restrictions.
  6. Fill out lifting capabilities by checking the appropriate weight categories and indicating any restrictions.
  7. Provide physician comments or suggestions in section 6, and list any side effects from medications in section 7.
  8. Finally, ensure that all required fields are completed, including physician name and signature before saving or sharing your document.

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