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Physician's Modified Work Information Sheet - Louisiana
Physician's Modified Work Information Sheet is a legal document that was released by the Louisiana Division of Administration - a government authority operating within Louisiana.
FAQ
Q: What is a Physician's Modified Work Information Sheet?
A: It is a document used in Louisiana to provide information about an employee's modified work restrictions.
Q: What is the purpose of a Physician's Modified Work Information Sheet?
A: The purpose is to share details about an employee's work restrictions with their employer.
Q: Who fills out the Physician's Modified Work Information Sheet?
A: It is typically completed by a physician or healthcare provider.
Q: What information does the Physician's Modified Work Information Sheet contain?
A: It includes details about the employee's work restrictions, such as lifting limits, standing/sitting requirements, and other limitations.
Q: Is the Physician's Modified Work Information Sheet mandatory?
A: Yes, Louisiana law requires employers to provide modified work options to employees with work restrictions.
Q: Who receives a copy of the Physician's Modified Work Information Sheet?
A: The employer should receive a copy, and the employee should keep a copy for their records.
Q: What should an employer do with the Physician's Modified Work Information Sheet?
A: The employer should review the sheet and make reasonable accommodations for the employee's work restrictions.
Q: Can an employer reject the work restrictions stated in the Physician's Modified Work Information Sheet?
A: An employer can only reject the restrictions if they can show that providing them would pose an undue hardship or safety risk.
Q: What if an employer cannot provide suitable modified work?
A: If suitable modified work is not available, the employer may need to provide disability benefits to the employee.
Q: What is the consequence of failing to comply with the Physician's Modified Work Information Sheet requirements?
A: An employer may face penalties and legal consequences for non-compliance with the law.
Form Details:
- The latest edition currently provided by the Louisiana Division of Administration;
- Ready to use and print;
- Easy to customize;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of the form by clicking the link below or browse more documents and templates provided by the Louisiana Division of Administration.
