Return To Work Interview Form Generator for the USA

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Key Requirements PROMPT example:

Return To Work Interview Form

"I need a Return To Work Interview Form for our manufacturing facility that includes enhanced safety protocols and physical capability assessments, specifically designed for employees returning from long-term medical leave, with particular attention to OSHA compliance and gradual return-to-work schedules."

Document background
The Return To Work Interview Form is a crucial human resources document used across United States businesses to manage and document employee returns following extended absences. This form became particularly significant with the evolution of workplace regulations and the increasing focus on employee rights and accommodations. It serves multiple purposes: ensuring compliance with federal and state employment laws, documenting the return-to-work process, protecting both employer and employee interests, and facilitating successful workplace reintegration. The document is designed to address various types of absences, including medical leave, disability-related absence, workers' compensation cases, and extended personal leave. It includes sections for absence details, work capability assessment, necessary accommodations, and action plans, while maintaining compliance with medical privacy requirements under HIPAA and other relevant legislation.
Suggested Sections

1. Employee Information: Basic details including employee name, ID, department, and position

2. Absence Details: Information about the period of absence, including start and end dates, and type of absence (e.g., illness, injury, other)

3. Return to Work Discussion: Documentation of the conversation regarding the employee's wellbeing and readiness to return

4. Work Capability Assessment: Evaluation of the employee's ability to perform their regular duties and any limitations

5. Required Accommodations: Details of any workplace adjustments or accommodations needed for the employee's return

6. Action Plan: Specific steps and measures agreed upon to support the employee's return

7. Sign-off Section: Signatures from employee, manager, and date of the interview

Optional Sections

1. Medical Certification Review: To be included when medical clearance is required for return to work

2. Phased Return Schedule: Used when the employee requires a gradual return to full duties

3. Performance Monitoring Plan: Include when specific monitoring of the employee's progress is needed

4. Health and Safety Risk Assessment: Required for returns involving workplace injuries or ongoing health concerns

5. Occupational Health Referral: Include when occupational health assessment is needed

Suggested Schedules

1. Schedule A - Phased Return Timeline: Detailed schedule of graduated return to work, if applicable

2. Schedule B - Workplace Adjustments Checklist: List of specific accommodations and modifications required

3. Schedule C - Follow-up Meeting Schedule: Timeline for review meetings to monitor progress

4. Appendix 1 - Medical Guidelines: Reference guidelines for specific medical conditions and recommended accommodations

5. Appendix 2 - Contact Information: List of relevant support contacts (HR, occupational health, employee assistance program)

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

Healthcare

Manufacturing

Retail

Professional Services

Education

Technology

Construction

Financial Services

Transportation

Hospitality

Government

Non-profit

Energy

Telecommunications

Agriculture

Relevant Teams

Human Resources

People Operations

Employee Relations

Occupational Health

Legal

Compliance

Benefits Administration

Workers Compensation

Health and Safety

Relevant Roles

HR Manager

Human Resources Director

HR Business Partner

Employee Relations Manager

Occupational Health Manager

Department Manager

Line Manager

Supervisor

HR Coordinator

Benefits Administrator

Leave Administrator

Workers Compensation Coordinator

HR Compliance Officer

People Operations Manager

Disability Management Specialist

Industries
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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