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Light Duty Policy
Get a single, formatted Word document that includes all 15 sections of your Light Duty Program—ready to print, share, or archive. You can review and edit each section below before downloading.
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Program Overview
Explains the purpose and benefits of the Light Duty Program, emphasizing its role in supporting employee recovery and maintaining workplace engagement.
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Definitions
Defines key terms like restrictions, modified duty, and essential job functions to ensure clear communication among all parties involved.
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Eligibility Criteria
Outlines who can participate in the Return-to-Work Program and the medical documentation required to match employees with appropriate light duty tasks.
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Roles & Responsibilities
Details the specific duties of employees, supervisors, HR, treating providers, and insurance partners to ensure a collaborative return-to-work process.
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Program Process Flow
Describes the step-by-step process from injury reporting to returning to full duty, focusing on communication and safety.
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Medical Documentation Requirements
Highlights the importance of timely Work Status or Restriction Forms to align modified duty tasks with employee recovery needs.
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Light Duty Task Matching Process
Explains how medical restrictions are reviewed and matched with tasks from the Light Duty Task Bank to create safe, meaningful assignments.
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Job Offer Process
Details the creation, presentation, and acknowledgment of written Modified Duty Offers to formalize temporary assignments.
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Monitoring & Follow-Up
Describes ongoing check-ins and supervisor feedback to ensure modified duty assignments remain safe and effective as recovery progresses.
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Duration of Assignments
Clarifies that modified duty is temporary, typically lasting 30-90 days, with periodic reviews to adjust or end assignments.
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Interaction with Benefits, Pay, and Insurance
Explains how modified duty affects wages, workers’ compensation benefits, and company benefits to minimize financial disruption.
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Legal Compliance: ADA, FMLA, and Related Protections
Ensures the program complies with laws like ADA and FMLA, addressing accommodations and confidentiality for employee protections.
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Documentation & Recordkeeping
Outlines the confidential storage and consistent documentation of medical restrictions, assignments, and communications.
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Program Evaluation & Metrics
Describes how the program tracks outcomes like assignment success and cost trends to improve effectiveness and safety.
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Closing Statement
Reinforces the program’s commitment to employee recovery, safety, and collaboration for a strong, supportive workplace.
View SectionReturn-to-Work Forms
and Compliance Tools
Quickly create, customize, and manage return-to-work letters, restriction summaries, and other essential forms—all linked to your job cases and medical providers.
Light Duty Policy for Handbook
PolicyStandardized form to collect restriction details and medical updates from the treating physician.
DownloadDetailed Restrictions Form
FormFormal agreement signed by the employee outlining their modified duty responsibilities, schedule, and compliance terms.
DownloadSimple Restrictions Form
FormOutlines procedures for offering and managing light duty work, including eligibility and duration expectations.
DownloadLetter to Doctor
LetterConfirms the employee understands and agrees to abide by current restrictions set by their healthcare provider.
DownloadLetter to Supervisor
FormUsed to document an employee’s refusal of a suitable light duty job offer, protecting claim defensibility.
DownloadCreate a Modified Duty Job Offer
InstructionsUse the Case Manager to walk through each step—add restrictions, assign tasks, and generate a formal offer. Click below to learn how.
Manage Your
Occupational Medical Providers
Create job offers, generate documents, and explore your job bank—all tied to specific injury cases and evolving restrictions.
Explore Our
Job Bank Library
Browse a library of light duty job tasks organized by restrictions, skills, and industry. Use this section to explore potential duties. Job assignments are made when creating or updating a specific injury case.
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Track and Manage
Light Duty Job Cases
Create job offers, generate documents, and explore your job bank—all tied to specific injury cases and evolving restrictions.
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Experience Mod History
Store and track your historical experience mod scores to monitor trends, demonstrate improvement, and support your risk management strategy.
