Return leave 2026

1. Click ‘Get Form’ to open the return leave document in the editor.
2. Begin by filling out Section 1. Enter your name and employee ID number in the designated fields. Next, provide your supervisor’s name and department information.
3. In the Healthcare Provider’s Statement section, write the name of your healthcare provider and the date you are cleared to return to work. If there are any restrictions or limitations, indicate 'Yes' and specify them in the provided space.
4. If applicable, include the end date of any restrictions. Ensure you print your provider's name and phone number, followed by their signature and date.
5. Once completed, submit this form to your supervisor for their signature. After obtaining their approval, fax it securely to HR at 615-343-4142. Remember to keep a copy for your records.

Start using our platform today for free to streamline your return leave process!