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Light duty request form

Request for light duty letter 2025

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The document outlines the process for employees in the Service, Labor & Trades and Office, Professional and Technical Bargaining Units to request light duty due to medical reasons. It specifies that employees must submit a completed request form along with a Health Status Report to their supervisor, who has five working days to respond regarding the availability of light duty. If unavailable, the department may refer the request to a Light Duty Review Committee, which has ten working days to find an alternative work site. Light duty assignments are limited to six months without further approval.

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What is an example of a light duty letter?

Light Duty - Sample letter 1 We are the employer in the above referenced workers compensation claim. As such, we would like to make you aware that we do have modified/light duty positions available that may provide an opportunity for this injured worker to safely return to work in a light duty/transitional capacity.

How do you request a letter to change duty time?

As a -year employee of your company, I am scheduled to work . However, due to and changes in my living conditions, I would like to request a change in my shift schedule to .

How do you write a letter on duty?

The Principal (Academic) Sir, Kindly allow me to avail On-duty leave from to..for days as: I have to attend the (event name).to be held at..for .

What is a doctors note for light duty work?

You need to have a physician indicate that your condition warrants your needing light duty and he needs to indicate for how long. Once you have that you can present it to your employer but remember to make a copy of that for your records.

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