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Back to work interview template

Back to work interview template

Facilitate smooth employee reintegration with a comprehensive back to work interview template. Ensure thorough documentation and effective communication.

Use this template
or download pdf
Back to work interview template

Facilitate smooth employee reintegration with a comprehensive back to work interview template. Ensure thorough documentation and effective communication.

Use this template
or download pdf

About the Back to work interview template

Navigating the return-to-work process can be challenging, but a back to work interview template can make it seamless. This template ensures that all critical aspects of the employee’s return are discussed and documented.

Using a back to work interview template promotes effective communication. It provides a structured approach to address the reason for absence, any necessary support, and future work plans. This helps in setting clear expectations and resolving any concerns the employee might have.

Another significant benefit is ensuring accurate documentation. The template captures all details of the conversation, providing a clear record for both the employee and the manager. This minimizes the risk of misunderstandings and serves as a reference for future follow-ups.

To optimize the use of your back to work interview template, customize it to suit your specific requirements. Include fields that are relevant to your industry or company policies, ensuring it fits seamlessly into your workflow. This personalized approach helps you maintain high standards and enhance the efficiency of managing employee returns.

Key elements of a back to work interview template

A well-designed back to work interview template includes several crucial elements that ensure a comprehensive and effective return-to-work discussion. Here are key elements you can include to 

get all necessary information and improve your documentation process.

  1. Reason for absence: This section captures the reason for the employee’s absence, whether it’s due to illness, personal reasons, or other factors. Documenting this information helps you understand the context and manage future absences more effectively.
  2. Required support: Including a section for required support ensures that any accommodations or assistance the employee needs upon returning to work are identified and addressed. This helps facilitate a smooth transition and maintain productivity.
  3. Future work plans: This section outlines the employee’s work plans moving forward, including any adjustments to their role or responsibilities. Clear planning helps set expectations and ensures that both the employee and the manager are aligned.
  4. Employee and manager feedback: Providing space for both the employee and the manager to give feedback ensures that any concerns or suggestions are documented. This promotes open communication and helps in resolving any issues promptly.
  5. Signatures: The signatures of both the employee and the manager confirm that the interview took place and that both parties agree on the discussed points. This ensures mutual understanding and accountability.

How to customize a back to work interview template

Customizing a back to work interview template ensures it fits your specific needs and enhances the return-to-work process. Here are three key elements to include in your editable template: 

  • Industry-specific fields: Add fields relevant to your industry, such as specific health and safety requirements or role-specific questions. This ensures that the template captures all necessary information for your particular context.
  • Company policies: Incorporate sections that align with your company’s policies and procedures. This helps maintain consistency and ensures that the interview process adheres to your organizational standards.
  • Feedback mechanisms: Include areas for both employee and manager feedback. This promotes open communication and allows for continuous improvement based on real experiences and suggestions.

Related categories

  • Operational excellence templates
  • Quality management templates
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  • Templates for business processes
  • Workforce management and HR templates
Preview of the template
Page 1
Reason for Absence
What was the reason for your absence?
How long were you away from work?
Required Support
Do you have any immediate needs or concerns we should address?
What kind of support would help you transition back to work?
Future Work Plans
What are your initial priorities or goals for the next few weeks?
Are there any adjustments or accommodations needed to your work schedule or responsibilities?

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Related resources

Access a complete set of resources aimed at maximizing safety, quality, and operational excellence, including detailed guides, related templates, and real-world use cases.

Topic guides

Read in-depth guides covering key topics related to this article.

Human resource management : A comprehensive guide and strategiesOnboarding & offboarding: A guide to employee successExploring Employee Surveys As A Valuable Workplace ToolCoaching Employees For Success: The Complete Guide
See all topic guides

Template collections

See comprehensive collections of best practice templates related to this topic.

Top 6 back to work forms for smooth transitions5 powerful employee onboarding checklist templates6 free employee evaluation form templates for managers4 free task management employee task list templates
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Use cases

Check out how the Lumiform software can be utilized for related use cases.

Human resource management softwareOnboarding and offboarding softwareApply Lumiform's workflow automation platform to all use casesConduct inspections with Lumiform's customizable workflow software
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Other resources

Explore all the additional resources we offer to assist you in mastering this topic.

4 Performance appraisal methodsHow to measure operational excellenceHow vacation time improves employee wellnessHow to effectively hire employees and build a team

Frequently asked questions

What is the purpose of a back to work interview template?

It guides the conversation between employer and employee after an absence. This structured approach helps address concerns and updates. The template ensures all relevant topics are covered.

How does a back to work interview template enhance communication?

It provides a clear framework for discussing the employee’s return. This includes updates on work status and any needed support. Effective communication fosters a positive and productive reintegration.

What topics should be included in a back to work interview template?

Include discussions on health status, workload, and any necessary accommodations. These topics help identify areas needing attention. Comprehensive coverage ensures a smooth transition back to work.

How can a back to work interview template support employee well-being?

It addresses any concerns or adjustments needed for the employee’s return. This proactive approach supports their well-being and productivity. Ensuring support helps maintain a healthy work environment.


This template, developed by Lumiform employees, serves as a starting point for businesses using the Lumiform platform and is intended as a hypothetical example only. It does not replace professional advice. Companies should consult qualified professionals to assess the suitability and legality of using this template in their specific workplace or jurisdiction. Lumiform is not liable for any errors or omissions in this template or for any actions taken based on its content.
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