Scribd Logo
Upload

Welcome to Scribd!

  • 1K views

    Notice - Return To Work

    Uploaded by

    Jhony Martin Alba
    This letter notifies an employee that an independent medical examination has found them able to return to their regular job duties as of a certain date, and orders them to return to work on that date at a certain location and time or risk losing workers' compensation benefits and potential discipline up to termination. It provides the employee's return to work date, pay rate upon return, and contact information if they have any questions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd

    Notice - Return To Work

    Uploaded by

    Jhony Martin Alba
    1K views2 pages
    This letter notifies an employee that an independent medical examination has found them able to return to their regular job duties as of a certain date, and orders them to return to work on that date at a certain location and time or risk losing workers' compensation benefits and potential discipline up to termination. It provides the employee's return to work date, pay rate upon return, and contact information if they have any questions.

    Original Title

    wc-notice-return-work

    Copyright

    © © All Rights Reserved

    Available Formats

    DOCX, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This letter notifies an employee that an independent medical examination has found them able to return to their regular job duties as of a certain date, and orders them to return to work on that date at a certain location and time or risk losing workers' compensation benefits and potential discipline up to termination. It provides the employee's return to work date, pay rate upon return, and contact information if they have any questions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    1K views2 pages

    Notice - Return To Work

    Uploaded by

    Jhony Martin Alba
    This letter notifies an employee that an independent medical examination has found them able to return to their regular job duties as of a certain date, and orders them to return to work on that date at a certain location and time or risk losing workers' compensation benefits and potential discipline up to termination. It provides the employee's return to work date, pay rate upon return, and contact information if they have any questions.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    You are on page 1of 2

    Notice - Return to Work

    This letter is sent to employees to notify them that they have been released to return to
    work. The letter includes all information necessary to defend a termination petition should
    the employee not return to work as ordered by this letter. If the employee voluntarily
    returns to work, this letter is not required.

    Dear [EMPLOYEE]:

    We received the results of the independent medical examination conducted on [DATE] by


    Dr. [NAME]. Based on the examination, you have been released to return to your regular,
    unrestricted job duties of a [JOB CLASSIFICATION NAME].

    You are, therefore, ordered to return to work on [DATE] and report to [LOCATION],
    [SUPERVISOR NAME] at [TIME]. Your salary effective [RETURN TO WORK DATE] is $[RATE].
    Failure to report to this assignment could jeopardize your workers’ compensation indemnity
    benefits. In addition, you could receive discipline up to and including termination if you do
    not return to work.

    If you have questions concerning this information, please contact me at [ADDRESS AND/OR
    TELEPHONE].

    Sincerely,

    WC Coordinator

    Enclosure:
    Bureau of Workers’ Compensation Form

    cc: Inservco Insurance Services, Inc.


    Supervisor

    Note: This work-related injury does not indicate and should not be interpreted to indicate
    that you are regarded by the commonwealth as having a disability as defined by the ADA.

    [Date]

    [Employee name]

    [Employee address]

    Dear [Employee name],

    I hope this notice finds you safe and well during this unprecedented time. While we
    have all been working remotely over the past few months, we are pleased to announce
    [Company name] has begun the process of reopening our buildings and returning
    employees to the workplace. This process will be implemented in three phases as
    follows:
    Phase one includes [insert categories, classifications, departments or other groups],
    who will return to the office on [date].

    Phase two includes [insert categories, classifications, departments or other groups],


    who will return to the office on [date].

    Phase three includes [insert categories, classifications, departments or other groups],


    who will return to the office on [date].

    Employees will be notified by the HR department of their assigned phase/return-to-office


    date.

    [Optional text for employers that will give employees the choice whether to return to the
    office or continue working remotely.]

    If you do not wish to return to the office on your scheduled date, you have the option to
    continue working remotely through [date]. Please speak with your manager regarding
    your plans no later than [date].

    Safety is of the utmost importance during this return-to-office process, and we have
    made numerous changes to our policies and procedures, including the following [edit
    the following list to reflect your company practices]:

     All employees entering our buildings will be screened for COVID-19 symptoms
    and possible exposure.
     No visitors will be permitted to enter [Company name] buildings.
     Common areas and frequently touched surfaces are being cleaned daily.
     Business hours have been modified to allow for staggered work shifts to reduce
    the number of people in the building at one time.
     Workspace layouts and seating arrangements are revised to allow for social
    distancing.
     Meeting rooms, break rooms and other communal areas have reduced seating
    and capacity limits.
     Business travel remains restricted to essential travel only.

    We will provide more-detailed information to each group of returning employees prior to


    their return-to-office date. If you have a conflict or concern regarding your return to the
    workplace, please contact HR at [insert contact information]. 

    You might also like