Return To Work Interview Form Template for Germany

1. Medical Certificate Review: Section for reviewing medical certificates if the absence was due to illness - only included when medical documentation was required

2. Occupational Health Referral: Section for documenting referral to occupational health services if needed for complex cases or long-term absences

3. BEM Process Initiation: Section required when absence exceeded 6 weeks within 12 months, triggering the workplace integration management process under SGB IX

4. Pattern of Absence Review: Optional section for discussing patterns of absence if there have been multiple absences - to be included only when relevant

5. Risk Assessment: Section for documenting specific workplace risks that need to be considered for the returning employee - included when returning from workplace injury or when new risks need to be assessed

1. Absence History Summary: Appendix showing overview of employee's absence history for the past 12 months

2. Workplace Adjustment Plan: Schedule detailing specific modifications to workplace, equipment, or duties if required

3. Follow-up Meeting Schedule: Timeline for follow-up meetings to monitor progress and adjust support measures if needed

4. Health and Safety Checklist: Checklist ensuring all necessary safety measures are in place for the employee's return