Here's how it works
01. Edit your duties form online
Type text, add images, blackout confidential details, add comments, highlights and more.
02. Sign it in a few clicks
Draw your signature, type it, upload its image, or use your mobile device as a signature pad.
03. Share your form with others
Send suitable duties template via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out the duties form with our platform
- Click ‘Get Form’ to open the duties form in the editor.
- Begin with Part 1: Pre-Injury Work Description. Fill in the employee's details, including their job title and pre-injury hours. Discuss with the employee and supervisor to accurately capture inherent job requirements.
- In Part 1, assess any personal or workplace factors that may delay return to work (RTW) and document how these can be managed.
- Move to Part 2: Potential Suitable Duties. After a workplace assessment, identify modifications needed for pre-injury duties or alternative duties available within the organization.
- Document any support offered to the employee, such as training or communication strategies, ensuring all parties agree on actions taken.
- Finally, complete Part 3: Work Capacity by consulting with the treating doctor. Record medical opinions regarding recovery prognosis and current work capacity.
Start using our platform today for free to streamline your duties form completion!
Fill out duties form online
It's free
It's free
See more duties form versions
We've got more versions of the duties form form. Select the right duties form version from the list and start editing it straight away!
| Versions | Form popularity | Fillable & printable |
|---|---|---|
| 2016 | 4.8 Satisfied (205 Votes) |
Security and compliance
At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.
Learn more
