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01. Edit your return to work agreement template online
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Send return to work agreement after rehab template via email, link, or fax. You can also download it, export it or print it out.
How to use or fill out return to work agreement template with our platform
- Click ‘Get Form’ to open the return to work agreement template in the editor.
- Begin with Part A, where you will enter the employee's details. Fill in their title, surname, given names, date of birth, payroll number, and contact information.
- Move to Part B to input employer details. Include the department name, rehabilitation coordinator's name and contact information.
- In Part C, outline the program details. Specify the program goal, return-to-work position, medical condition, and duration of the program including start and end dates.
- Complete the weekly schedule sections by entering substantive hours and program hours for each day of the week. Note any duties and restrictions that apply.
- In Part D, have the employee complete their declaration by signing and dating it. Ensure all necessary fields are filled accurately.
- Finally, review all sections for completeness before submitting via email or fax as indicated at the end of the document.
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