Return to Work Doctors Note Template

Tuesday, November 23rd 2021. | Sample Templates

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The Office of Human Resources The Office of Human Resources If you are on a medical leave, once you have received clearance from your doctor to return to work, an anticipated return date will be established. The Standard will notify you about this date 14 days prior to your anticipated return. If you are on a medical leave, once you have received clearance from your doctor to return to work, an anticipated return date will be established. The Standard will notify you about this date 14 days prior to your anticipated return. One week before your return date, have your health care provider sign the Return to Work Authorization form provided to you by The Standard. Then, provide a copy of this completed form to: One week before your return date, have your health care provider sign the Return to Work Authorization form provided to you by The Standard. Then, provide a copy of this completed form to: The Standard, by fax (866-751-5174). The Standard, by fax (866-751-5174). Brandeis University, by fax (781-736-4466). Brandeis University, by fax (781-736-4466). Note: The requirement above is only applicable if you are returning from a continuous or reduced-schedule leave, not an intermittent leave. Note: The requirement above is only applicable if you are returning from a continuous or reduced-schedule leave, not an intermittent leave. If you need a copy of your job description, contact Renee Relerford at reneerelerford@brandeis.edu or 781-736-4451. If you need a copy of your job description, contact Renee Relerford at reneerelerford@brandeis.edu or 781-736-4451. You must also submit a signed return-to-work form to Brandeis’ Office of Human Resources two days prior to your return. Once you have successfully returned to work, you will receive a closure letter in the mail.

If You Are on Family Leave You must also submit a signed return-to-work form to Brandeis’ Office of Human Resources two days prior to your return. Once you have successfully returned to work, you will receive a closure letter in the mail.

If You Are on Family Leave If you are on a family leave, be sure to contact your manager and The Standard in the week before your leave ends to notify them that you will be returning to work. They will inform you of any next steps that you must take. If you are on a family leave, be sure to contact your manager and The Standard in the week before your leave ends to notify them that you will be returning to work. They will inform you of any next steps that you must take.

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