The Return To Work Self Certification Form is a crucial document in England and Wales employment practice, designed to manage and document an employee's return to work following absence. It supports compliance with UK employment legislation and helps organizations maintain accurate absence records. The form typically includes details about the absence period, reason for absence, and any necessary workplace adjustments. It's particularly important for absences under seven days where a medical certificate isn't required, though it can be used alongside medical certificates for longer absences.
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Key Requirements PROMPT example:
Return To Work Self Certification Form
"I need a Return To Work Self Certification Form for a medium-sized tech company that includes specific provisions for hybrid working arrangements and mental health considerations, with extra emphasis on data protection due to our international operations."
1. Employee Information: Basic details including name, employee ID, department
2. Absence Details: Dates of absence and reason for absence
3. Return Date: Confirmation of return to work date
4. Health Declaration: Statement of fitness to return to work
5. Data Protection Notice: Statement about how information will be used and stored
6. Signature Section: Employee and manager signatures and dates
1. Workplace Adjustments: Details of any required adjustments, use when employee indicates need for modifications
2. Medical Certificate Reference: Details of any medical certificates provided, use for longer absences
3. Follow-up Actions: List of required follow-up actions, use when ongoing support needed
1. Company Sickness Policy: Reference to relevant company policies
2. Risk Assessment Form: If required based on nature of absence or return conditions
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