Return to Work Form

When an employee comes back from a prolonged absence, they may still be in the recovery phase. That’s why it’s important to fill out a return to work form.

With this form, you can document:

• How long the employee was away
• Whether their injury or illness was work-related
• What type of injury or illness they had
• What type of follow-up care you will provide

Before the employee returns, collect these details to ensure the safest transition back to work. Document a new form for each employee return, even if the employee has had an extended absence in the past.

You can customize this template and download it to any major format. Don’t forget to share it with your HR and EHS staff, who may want to keep this information on file for easy access.