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Light duty work restrictions letter from doctor

Light duty work restrictions letter from doctor 2025

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The document is a form from the Department of the Army for applicants seeking light duty work under Nonappropriated Funds. It includes instructions for completing the form, sections to assess physical limitations, endurance factors, and environmental conditions relevant to the job. Applicants must provide personal information and answer questions regarding their physical abilities and any disabilities that may affect their employment. The appointing officer may require a medical examination based on the applicant's responses.

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Click ‘Get Form’ to open the light duty work restrictions letter in the editor.
Begin by filling out the 'IDENTIFICATION OF APPLICANT' section. Enter your name, date of birth, address, and the title of the position you are applying for.
In 'SECTION A - PHYSICAL LIMITATIONS', answer each question by marking 'YES' or 'NO'. If you answer 'YES' to any item, provide additional details in Section D.
Proceed to 'SECTION B - PHYSICAL ENDURANCE FACTORS'. Again, mark each item as 'YES' or 'NO', and elaborate in Section D if necessary.
Complete 'SECTION C - ENVIRONMENTAL ENDURANCE FACTORS' by indicating your ability to work under various conditions. Use Section D for any clarifications.
Finally, sign and date your responses in 'SECTION E - CERTIFICATION BY APPLICANT'. Ensure all information is accurate before submission.

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We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

How many lbs is considered light duty?

Gross Vehicle Weight Rating (lbs)Federal Highway Administration Vehicle ClassGVWR Category 6,000 Class 1: 6,000 lbs Light Duty 10,000 lbs 10,000 Class 2: 6,001 10,000 lbs 14,000 Class 3: 10,001 14,000 lbs Medium Duty 10,001 26,000 lbs5 more rows

What is an example of a light duty work 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.

How long can someone be on light duty at work?

There is no exact amount of time an employee is allowed to stay on light or modified duty. The length of modified duty will depend on your employers policy. Your employer is allowed to only temporarily provide modified duty if that is what your policy says.

What is a work restriction letter from a doctor?

Work restriction letters are typically used by employees who have received medical recommendations from their doctors regarding adjustments needed in their job duties.

Does light duty mean no overtime?

Under the ADA, or Americans with Disabilities Act, employees on light duty are entitled to work overtime if they are physically able to do so, the EEOC ruled.

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What is a light duty offer letter?

In a workers compensation case, the term light duty refers to a modified job assignment that is less physically or mentally demanding than your normal duties. These jobs allow you to return to work without aggravating your injury.

What does light duty mean for work?

A light duty job is a modified job assignment that is less physically or mentally demanding than normal job duties. It allows injured workers to return to work without aggravating their injury. Light duty jobs can be beneficial for employees who are physically or mentally injured and need to return to work.