Return to Work With Restrictions Letter Template

How to Write a Return to Work With Restrictions Letter?

To write a return to work with restrictions letter, you will want to include the following information:

• Name of Employee;
• Job Title;
• The dates the employee will be unable to work;
• If the employee is full-time or part-time;
• Statement about why the employee will be unable to perform their work duties and that this arrangement has been authorized by their manager and any higher-ups. Include the specific reason why the employee will be taking a break (for legal documentation purposes), and that the employee acknowledges their work duties will be different once they return;
• List the person(s) who will be taking over the duties of the employee and which duties will be the employee's again once they return. It will be important to discuss which duties they will be taking back on immediately and when they can expect to be working their former routine again;
• You will also want to mention if the employee's position will change (such as full-time to part-time) and if that will be a permanent or temporary change;
• If any benefits or pay will change due to their absence, you will need to include this information so the employee is fully aware before taking their leave (and so the company legal time can document the changes);
• Signature sections for management and the employee to acknowledge that all parties agree to the leave of absence and restrictions the employee has agreed to once they return.

Haven't found the template you're looking for? Take a look at the related templates below:

• Job Abandonment Letter Template;
• Employee Suspension Letter Template;
• Farewell Letter to Colleagues Template.