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1. Letterhead and Date: Company letterhead with full contact details and current date
2. Employee Information: Full name and address of the employee
3. Return Date Confirmation: Clear statement of the confirmed date of return to work
4. Position Details: Confirmation of the role and department the employee will return to
5. Working Hours: Specification of the working hours and schedule upon return
6. Location: Confirmation of the workplace location where the employee will return
7. Acknowledgment Request: Request for the employee to acknowledge and confirm the arrangements
8. Signature Block: Space for signatures from both employer and employee representatives
1. Medical Clearance Reference: Reference to medical clearance if the absence was health-related, used when return follows medical leave
2. Phased Return Schedule: Detailed schedule for gradual return to work, included when a phased return has been agreed
3. Workplace Accommodations: Description of any specific accommodations or modifications required, included when special arrangements are necessary
4. Support Measures: Details of any additional support or monitoring measures, included when ongoing support is needed
5. Performance Expectations: Clarification of any modified performance expectations, included when temporary adjustments to duties are required
6. Review Date: Scheduled date for reviewing the return arrangements, included when ongoing monitoring is needed
1. Medical Clearance Certificate: Attached medical documentation confirming fitness to return to work
2. Phased Return Timeline: Detailed week-by-week schedule for gradual return to full duties
3. Workplace Accommodation Plan: Specific details of any required workplace modifications or equipment
4. Return to Work Risk Assessment: Assessment of any potential risks and mitigation measures
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