Employee Return To Work Form Template for England and Wales

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Key Requirements PROMPT example:

Employee Return To Work Form

"I need an Employee Return To Work Form for a staff member returning from extended sick leave in March 2025, including provisions for a phased return over 4 weeks and specific workplace adjustments for a back injury."

Document background
The Employee Return to Work Form is a crucial document used when employees resume work following any significant absence, whether due to illness, injury, or other circumstances. Under English and Welsh law, employers have specific obligations regarding employee health, safety, and welfare. This form helps organizations meet these requirements while documenting important information about the return-to-work process. It includes details about the absence, current health status, any necessary workplace adjustments, and agreed arrangements for the return. The form serves as both a record of compliance with relevant legislation and a practical tool for managing the transition back to work effectively.
Suggested Sections

1. Employee Information: Basic details including name, employee ID, department, contact information

2. Absence Details: Information about the period of absence including start date, end date, and reason for absence

3. Return Date: Confirmed date of return to work and any specific arrangements

4. Health Status Declaration: Employee's declaration of current health status and fitness to return to work

5. Manager Review: Section for manager's assessment, comments and approval of return to work

Optional Sections

1. Phased Return Plan: Details of graduated return schedule including reduced hours or modified duties, to be included when recommended by healthcare provider

2. Workplace Adjustments: Specific modifications required to workspace or duties to accommodate medical conditions or disabilities

3. Follow-up Schedule: Schedule of planned review meetings and check-ins, particularly relevant for longer-term health conditions

Suggested Schedules

1. Medical Certificate: Copies of fit notes or medical certificates supporting the absence and return to work

2. Risk Assessment: Updated workplace risk assessment documentation if required due to health condition

3. Occupational Health Report: Any relevant occupational health recommendations or reports supporting the return to work

Authors

Alex Denne

Head of Growth (Open Source Law) @ Genie AI | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant Industries
Relevant Teams
Relevant Roles
Industries

Health and Safety at Work etc. Act 1974: Primary legislation establishing employer duties for employee health, safety and welfare, including risk assessment requirements and safe working environment obligations

Equality Act 2010: Legislation protecting against discrimination, requiring reasonable adjustments for disabled employees, and ensuring pregnancy and maternity protections during return to work

Management of Health and Safety at Work Regulations 1999: Regulations detailing risk assessment requirements, special considerations for vulnerable workers, and return to work procedures

Data Protection Act 2018 and UK GDPR: Legislation governing the processing of personal and health data, including special category data and privacy requirements in return to work documentation

Access to Medical Reports Act 1988: Legislation establishing consent requirements for medical information and employee rights regarding medical reports in return to work processes

Employment Rights Act 1996: Core employment legislation covering protection of employment terms, rights during absence, and return to work arrangements

Statutory Sick Pay (General) Regulations 1982: Regulations governing SSP requirements and fit note considerations for returning employees

The Working Time Regulations 1998: Legislation covering working hours considerations, rest break requirements, and phased return arrangements for returning employees

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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