Appendix N

RETURN-TO-WORK POLICY STATEMENT EXAMPLE

(Name of Company) shall make every reasonable effort to provide suitable employment to any employee unable to perform his or her duties as a result of an injury or illness. This may include a modification to the employee’s original position or providing an alternative position, depending on the employee’s medical restrictions, providing that this does not create an undue hardship to the company. Only work that is considered to be meaningful and productive shall be considered for use in the Return-to-Work Program. Participants placed on the Return-to-Work plans will be expected to provide feedback in order to improve the program. All employees, regardless of injury or illness, will be considered for placement through the Return-to-Work Program.
 
Signature  __________________________  Date  ________________________
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