WebJul 7, 2024 · A Dean, Chair, Department Head, or supervisor may request a Fitness for Duty Evaluation (an “Evaluation”) when they have a Reasonable Belief that the Employee’s ability to perform their Essential Job Functions will be impaired by a Medical Condition or that the Employee poses a Direct Threat due to a Medical Condition. WebSubpart H—Determining Fitness-for-Duty Policy Violations and Determining Fitness. 26.181 Purpose. 26.183 Medical review officer. 26.185 Determining a fitness-for-duty policy violation. 26.187 Substance abuse expert. 26.189 Determination of fitness. Subpart I—Managing Fatigue. 26.201 Applicability. 26.203 General provisions. 26.205 Work hours.
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WebFITNESS FOR DUTY TO RETURN FROM LEAVE CERTIFICATION _____ An employee on Family and Medical Leave because of his/her own serious medical condition must … WebDocument other observations related to Fitness for Duty: _____ _____ _____ Ask employee to explain signs of observed behavior. Document the employee’s response: _____ _____ _____ Check all that apply: Relieved employee from duty Removed from worksite Confirmed safe transportation plan Informed employee. of responsibilities daugherty construction inc
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WebCertification forms. The FMLA does not require the use of any specific certification form. The Department has developed optional forms that can be used for leave for an employee’s own serious health condition (WH-380-E) or to care for a family member’s serious health condition (WH-380-F). ... In general, a fitness-for-duty certification may ... WebWe offer a variety of downloadable forms to make it easy to do business with us. To quickly find what you need, search our forms library by form number or keyword. Go to forms … Webquestions posed by the ADA Coordinator and to complete a Fitness for Duty Evaluation Form. The ADA Coordinator will review these evaluation results and, if necessary, consult with the health care professional. If it is determined that the employee is fit for duty, the employee will be allowed to return to work within three (3) business days. daugherty construction llc