Return to Work Form Template

Having a quality return to work form template is key in the landscape of modern employment. We Have a free template that is printable in PDF for you to use. When its time to come back to work, the return can turn out to be as complex as the matter that caused the person to take leave. Whether the employee was out due to family commitments, medical reasons, or other personal circumstances, a formal template documenting the return along with any requirements is a key human resources (HR) admin piece for any organization or business.

 

Why Use a Return to Work Form?

A return to work form template provides several benefits to the organization. These include documentation, health and safety, and in communication. The form delivers a formal record of the employee’s leave and return. This is key for both HR records as well as ensuring compliance with local and federal legal guidelines. The documentation also provides a means to ensure the employee is medically fit to resume their duties. Finally, the return to work form helps facility clear communication between the employee, supervisor, and HR.

What are the Key Components of a Return to Work Form Template? 

There are a number of key components you should look at when implementing a return to work form for your business or organization. Some that you should consider are: 

  • Personal Information: Basic details like name, employee ID, and contact information for easy identification.
  • Leave Details: The type of leave, start and end dates, and the reason for leave. This helps in understanding the context of the absence.
  • Medical Clearance: If applicable, a section for medical professionals to confirm the employee’s fitness to return to work, especially after medical leaves. Please note, that you need to be careful on not violating HIPAA laws on the information you require from the person filling the form out. 
  • Work Adjustments: Space to detail any temporary or permanent adjustments needed, like reduced hours, ergonomic changes, or specific tasks to avoid. This is important if there is going to be a gradual return to work based on the specific situation. 
  • Employee’s Statement: A section where the employee can express any concerns or expectations about their return, fostering open communication.
  • Supervisor’s Review: Notes from the immediate supervisor regarding workload adjustments or team integration plans.
  • Training Needs: Identification of any training required due to changes in job roles or company policies during the leave. This becomes more important if the person was away from the organization for an extended period of time. 
  • Signatures: Space for signatures from the employee, supervisor, and HR, indicating agreement on the terms of return.

Printable Return to Work Form Template

Return to Work Form Template

We have a return to work form template posted for you in PDF here. The form is free to use and modify to best suit your specific organizational needs. The template is not needed to just add yet another form to the administration you require. Instead, it is a tool that when used properly helps enhance employee welfare and workplace efficiency. We have additional templates and forms that you will find useful for your business and daily life posted that are free and printable too. Whether you need a printable bill of sale or something else, we have what you need at PrinterFriend.ly. 

How to Create a Return to Work Strategy (Video)?