This form template for returning to work can be used by an employee after a long absence (for example, due to injury or illness) to list the days of absence and their cause. It also helps to collect important information on how the employee can be reintegrated into the world of work quickly and safely.
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Please note that this checklist template is a hypothetical appuses-hero example and provides only standard information. The template does not aim to replace, among other things, workplace, health and safety advice, medical advice, diagnosis or treatment, or any other applicable law. You should seek your professional advice to determine whether the use of such a checklist is appropriate in your workplace or jurisdiction.