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Return to Work Form
For management to fill in when an employee has had time off work after sick leave
Date of RTW meeting
*
Employee Name
*
Employee Email
*
Manager Email
*
Name and role of person carrying out the meeting
*
Updates
Have you updated the employee on any changes at work while they have been away?
*
A
Yes
B
No
Give details of updates here.
Confidentiality
Have you let the employee know that the information they share will be treated confidentially, and only shared with those who need it (such as HR or occupational health) to support their return to work or to meet our health and safety obligations?
Any other sharing will only happen with their agreement
*
A
Yes
B
No
Give details
Submit
