Request for Fitness for Duty or Return-to-Work Evaluation. The Ohio State University Office of Human Resources Policy 4.40 Request for Fitness for Duty or Return-to-Work Evaluation form. - hr osu 2025

See details

4.8 out of 5

160 votes

The document outlines the procedure for requesting a fitness for duty or return-to-work evaluation for employees, to be completed by supervisors or managers. It includes sections for employee information, descriptions of physical and mental capabilities, safety concerns, and a checklist for human resource professionals to ensure all necessary steps are followed before scheduling an evaluation.

Here's how it works

01. Edit your fit for duty 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 fitness for duty certification form via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out the Request for Fitness for Duty or Return-to-Work Evaluation form

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open it in the editor.
In Section 1, enter the employee's full name, OSU Employee ID#, title, department, supervisor’s name, office phone, HR representative’s name, and email address.
Move to Section 2. Describe objective indications of physical and mental inability to perform essential job functions. Include observed behaviors and their impact on work duties.
Address any safety concerns in Section 2. Indicate if the individual poses a threat to self or others and provide details if applicable.
Complete Section 3 by checking off the checklist items that have been completed by the HR professional before scheduling an evaluation.
Ensure all necessary attachments are included, such as current position descriptions and any medical documentation.
Finally, have the unit human resource professional sign Section 4 and provide their contact information before submitting the form.

Start using our platform today to streamline your document editing and ensure a smooth submission process!

See more Request for Fitness for Duty or Return-to-Work Evaluation. The Ohio State University Office of Human Resources Policy 4.40 Request for Fitness for Duty or Return-to-Work Evaluation form. - hr osu versions

We've got more versions of the Request for Fitness for Duty or Return-to-Work Evaluation. The Ohio State University Office of Human Resources Policy 4.40 Request for Fitness for Duty or Return-to-Work Evaluation form. - hr osu form. Select the right Request for Fitness for Duty or Return-to-Work Evaluation. The Ohio State University Office of Human Resources Policy 4.40 Request for Fitness for Duty or Return-to-Work Evaluation form. - hr osu version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2014	4.8 Satisfied (160 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

Who can fill out a fitness for duty form?

Employees can request copies of fitness for duty evaluations under disability and employment laws. If denied, they may file a formal written request citing relevant laws like the ADA. Employers must provide reasonable accommodations for known disabilities, such as after a stroke.

What is included in a fitness for duty evaluation?

An employee may be required to provide the employer with a fitness-for-duty, certification from the employees health care provider showing that the employee is able to resume work, if the employer has a policy or practice that requires employees in similar job positions who take leave for similar health conditions

What is a fitness for duty statement?

What does fitness for duty mean? An employee is fit for duty when they are able to perform their essential job functions, with or without a reasonable accommodation, in a manner that does not pose a direct threat.

How long does a fitness for duty take?

An FFDE can typically be completed within 1-2 weeks, including the interview, testing, and report preparation. In urgent cases, expedited services may be available to meet specific deadlines.

How do you assess fitness for duty?

By comparing their knowledge of the working environment and the specific demands of the occupation with their medical assessment of an individuals current mental, physical and medical capacity, they can identify any conditions that could make a person unfit for duty.

fitness for duty evaluation form

Osu Staff Employment policy Ohio State University employee handbook OSU termination policy Ohio State HR performance management OSU Workday Ohio State University performance management Staff Compensation Policy Ohio State Health Election Form OSU

What does a fit for duty test consist of?

A Fit-for-Duty test is a series of medical and physical testing, designed to match a candidates physical and mental abilities that the job they are applying for demands: Physical requirements, vision, hearing, etc. Physiological conditions: fatigue, alcohol and drugs, workplace exposures, etc.