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Return To Work Form Template

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To be completed by the employee name address job title department location mmu id number first date of absence last date of absence number of days absent reason for absence. Return to work form. 44 Return To Work Work Release Forms Printable Templates Return To Work Form Return To Work Doctors Note Return to work interview form. Return to work form template . Incorporating self certification form for the first 7 days of sickness section 1. On review of the form management may contact you and ask you not to return to work immediately and will discuss a suitable future date for your return. Download return to work form 08 55 kb download return to work form 09 65 kb download return to work form 10 152 kb download return to work form 11 46 kb injuries and illnesses to employees can be costly for both the employers and the employees. For the last type of absence the employee also needs to submit the doctor s note in the return to work form but the note will not contain a full d