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Statement Of Fitness For Work Form

Statement Of Fitness For Work Form Generator for Singapore

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Statement Of Fitness For Work Form

"Need a Statement of Fitness For Work Form for an employee returning from a long-term illness, requiring modified duties in our manufacturing facility, with specific focus on reduced lifting requirements and shorter working hours starting March 2025."

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The Statement of Fitness for Work Form is a crucial document in Singapore's workplace health management system. It is required when employees need to document their medical condition and its impact on their ability to work. This form, compliant with Singapore's Employment Act and Ministry of Manpower regulations, provides essential information about an employee's health status, recommended work modifications, and duration of medical leave. It serves multiple purposes: validating sick leave claims, ensuring safe return to work, and documenting any required workplace accommodations. The document is particularly important for workplace injury cases, extended medical leave, and when modified duties are necessary for an employee's return to work.
Suggested Sections

1. Patient Information: Basic details including name, NRIC/FIN, date of birth, contact information

2. Medical Practitioner Information: Doctor's name, registration number, clinic/hospital details

3. Medical Condition Assessment: Description of medical condition and its impact on work capability

4. Period of Unfitness: Start and end dates of the medical leave period

5. Work Capacity Statement: Clear statement of whether patient is unfit for work or fit for modified duties

6. Authentication: Doctor's signature, clinic stamp, and date of issuance

Optional Sections

1. Modified Duties Recommendations: Specific workplace modifications needed when patient can work with adjustments

2. Follow-up Requirements: Details of required follow-up appointments or reviews when ongoing medical supervision is needed

3. Workplace Restrictions: Specific activities or conditions to avoid when specific workplace restrictions apply

Suggested Schedules

1. Medical Test Results: Relevant test results supporting the assessment

2. Treatment Plan: Detailed treatment or rehabilitation plan if applicable

3. Previous Medical History: Relevant medical history affecting current condition

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

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alex.den.21@genieai.co
Industries

Employment Act (Chapter 91): Primary legislation governing employment relationships in Singapore, including provisions for sick leave entitlements, requirements for medical certification, and both employee and employer obligations regarding medical leave.

Medical Registration Act (Chapter 174): Legislation governing medical practitioners' registration, their authority to issue medical certificates, and professional standards and obligations in Singapore.

Workplace Safety and Health Act (Chapter 354A): Law covering workplace health and safety requirements, fitness for work standards, and return to work protocols to ensure employee wellbeing.

Personal Data Protection Act 2012 (PDPA): Legislation governing the handling of personal and medical information, including consent requirements and data protection obligations for medical documentation.

Healthcare Services Act 2020: Establishes standards for healthcare services and requirements for medical documentation in Singapore's healthcare system.

Ministry of Manpower (MOM) Guidelines: Official guidelines specifying MC requirements, format, reporting requirements, and return to work procedures in Singapore.

Singapore Medical Council Ethical Code and Guidelines: Professional standards and guidelines for medical practitioners regarding the issuance of medical certificates, documentation requirements, and patient confidentiality.

Human Biomedical Research Act 2015: Legislation governing the handling and sharing of medical information, including consent requirements for medical data sharing and research.

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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