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Fitness For Duty Form - Fill and Sign Printable Template

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4.9 out of 5

37 votes

The document is a Fitness-for-Duty Certification form used by the East Baton Rouge Sheriff's Office. It requires employees to provide personal information regarding their injury or illness, authorize the release of medical information, and outlines work restrictions as determined by a healthcare provider. The form includes sections for employee details, healthcare provider assessments, and specific physical restrictions related to the employee's ability to work.

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Versions	Form popularity	Fillable & printable
2013	4.9 Satisfied (37 Votes)
2012	4.4 Satisfied (44 Votes)

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