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Forms

The following list of forms can be downloaded and utilized regarding modified work. All files are in Word format, using 'open' from this website and then 'file', 'save as' will enable you to save these forms onto your system.

Fitness Form Part A
Fitness Form Part B

Information Letter


Job Demands Analysis Form


Modified Work Offer Part A

Modified Work Offer Part B

Modified Work Daily Record Part A

Modified Work Daily Record Part B
Modified Work Daily Record Part C

Physical Demands Analysis Form


Release Of Information Form


Return To Regular Duties Form


Return To Work Notice


Sample Memo To Employee


Subsequent Medical Absence Form