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Return form to Human Resources Western Oregon University 345 N Monmouth Avenue Monmouth OR 97361 Ph 503-838-8490 FAX 503-838-8144 Name of worker RELEASE TO RETURN TO WORK ID Number Please complete the following information and return to us at the address indicated above. 1. Is the worker medically stationary Yes No Date Next scheduled appointment date 2. Worker is released to full duty without limitations modified duty from date Do not complete lines 3 through 11. Sign below. through date...
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How to fill out WOU Release to Return to Work

01
Obtain the WOU Release to Return to Work form from your HR department or workplace website.
02
Fill in your personal information at the top of the form, including your name, employee ID, and department.
03
Provide details about your medical condition and the reason for your leave, including dates of absence.
04
Include the name and contact information of your healthcare provider who will confirm your ability to return.
05
Have your healthcare provider complete their section of the form, verifying they approve your return to work.
06
Review the completed form for any errors or missing information.
07
Submit the form to your HR department for processing.

Who needs WOU Release to Return to Work?

01
Employees who have taken medical leave and wish to return to work.
02
Staff members required to provide proof of fitness for duty after an extended absence.
03
Anyone returning from a work-related injury or illness that needs documentation to return.
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WOU Release to Return to Work is a document that indicates an employee has been cleared by a medical professional to resume their work duties after a period of absence due to illness or injury.
Employees who have been off work due to medical reasons and are returning to their job are required to file a WOU Release to Return to Work with their employer.
To fill out the WOU Release to Return to Work, the employee must provide their personal information, the details of their medical leave, and a signature from their healthcare provider confirming their fitness to return to work.
The purpose of WOU Release to Return to Work is to ensure that employees are medically cleared to perform their job duties safely and to protect both the employee's health and the workplace environment.
The WOU Release to Return to Work must report the employee's name, contact information, dates of absence, a statement from the healthcare provider, and any specific work restrictions or accommodations needed.
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