Interviews are usually conducted by the employees line manager. Return to work interview form incorporating selfcertification form for the first 7 days of sickness section 1. The form should be completed at the conclusion of each returntowork interview and a copy provided to the employee. While you may see the young person on many occasions, you are not a. Return to work interview the aim of the return to work interview is. This fact sheet references the most commonly used documents. I certify that this form represents an accurate account of the return to work interview. To carry out an effective rtw interview, managers should consider the following. This form is used by an immediate supervisor to record information during a return to work interview.
Return to work discussion interview form this return to work rtw discussion interview form is designed as a guide and prompt for good practice for line managers and employees when meeting following a return from sickness absence. This is usually held on the first day back, and is an opportunity to welcome an employee and discuss plans to support their return. Issue to discuss could include welcoming the employee back. Includes date on the leave of absence and the possible date when the employee intends to go back to work, also including a space if and when the employee cannot return to work anymore with the corresponding medical condition. Return to work form name department this form must be completed after any period of absence other than holiday. Return to work interview record form this return to work interview form is designed as a guide for the manager when meeting with employees on their return to work from sickness absence. Jun 05, 2019 a return to work interview is a common hr process, which involves checking in on a returning employee, before they get stuck back into their work. Return to work interview template get access at employerline. This list of questions on return to work has mainly focused on factors at work. These may have made it harder to cope with demands at work that you would normally be able to cope with. Return to work interviews bright contracts documentation. This form must be completed and discussed with the employee by the manager or designated deputy for every episode of. When the employee is back at work, the person coordinating return to work should conduct a return to work interview or discussion.
The above notes have been designed as guidance only and should not be used. Fill, sign and download return to work medical form online on. Theres no reason to conduct a return to work interview or ask returning employees to fill out a form. Return to work form to be completed for every episode of sickness absence.
Issue to discuss could include welcoming the employee back, updating on the work situation, the reason for the employees. Return to work interview form this form is only appropriate to be used by an employee if heshe is scheduled for an interview with hisher manager or supervisor with regards to hisher consecutive days of absence. This form must be completed and discussed with the employee by the manager or designated deputy for every episode of sickness and retained on the employees personal file. Sep, 2017 when your employee has returned to work following a sickness absence, you may want to conduct a return to work interview.
The line manager should complete the form and share it with the employee. While you may see the young person on many occasions, you are not a case worker. The return interview should be completed in addition to the police safe and well check. Open it in adobe acrobat reader version xi or later. The return to work interview is an important and effective tool for managing both short and longterm absence. The returntowork discussion or interview return to work. A return to work interview handled with particular care and thought is essential if you want to retain such employees. The following page provides access to a number of different forms relating to a wide variety of hr activity. Return to work interview the aim of the return to work. This is a sample policy provided by saif as a service to its policyholders. Not all provisions may be applicable to your business.
Conducting a return to work interview the questions above may also be covered in a return to work interview. However, there may be factors outside work, for example in your family life, which may have contributed to or added to the pressures at work. Return interview this form is to be used for children who go missing from home or care. It should be borne in mind that each employee will, under the data protection act 1998, have the right of access to the record once it is placed in his or her file. Appendix 4 return to work interview form this form is to be completed by the line manager for all periods of sickness absence and retain a copy of this form on the employees file held locally in the. It should be private and confidential, informal, structured and factual, carried out in a positive and supportive way, recorded and taken seriously. Below are some of the basic examples of the return to work forms that business companies can use for their employees and staff.
How and when to conduct return to work rtw discussions. To be completed for every episode of sickness absence. An employee may view their individual absence record by contacting their line manager. Return to work interview form rtwi a return to work interview must be conducted after every absence. Tools and downloads the site content is based on the guidelines for helping employees successfully return to work following depression, anxiety or a related mental health problem.
Any other comments or issues raised, and any further action agreed. Why conduct a return to work interview the people hr blog. Return to work questionnaire health and safety executive. Conducting a return to work interview managers guide. Is the return to work interview part of your employment plan. It is either used for selfcertification or as a tool during return to work interviews. For every period of absence, a return to work interview should be conducted. Absence opened and closed on esr e rostering tick box and date when complete please retain this form on the personal file. Return to work discussion to be completed by manager managers name. According to employment law specialists peninsula, performing a back to work interview is not a legal requirement, and there is no legislation that currently deals with this process. Our sample return to work forms are available in the following classifications. Sample doctor note to return to work blank sick note april.
Returning to work i foreword hundreds of businesses up and down the country are losing employees every month because they have not been able to return to work after depression. Selfcertification to be completed by the employee name address job title department location mmu id number first date of absence last date of absence number of days absent reason for absence. In most cases, you would only have a light conversation with your manager, but there are times when you have to submit a return to work letter. This is particularly important if return to work has not been discussed during the employees leave of absence. Return to work note resume template ideas return to work note template april. Returntowork interviewnov2009 returntowork interview name. Meet with the employee on the first day back at work, or shortly afterwards. Employees must complete all questions marked in bold type. Get the most out of return to work interviews with this downloadable template and advice on how to prepare and what to cover. Alternatively, all of our forms can be found from the az. This is a tragedy for the individual and their family, but it is also bad business. A copy of this form should be given to the employee.
When the employee is back at work, the person coordinating return to work should conduct a returntowork interview or discussion. For absences of 7 calendar days or more, the member of staff must also provide statement of fitness for work fit note. In this case, you would have to submit a return to work form upon your return. Here are our top ten tips at cordell health for managing the return to work interview with an employee who has been off with stress. For absences of up to 7 calendar days, this form will act as the self certification form. Form n648, medical certification for disability exceptions. The checklist items, and the departments who will signify that the items are returned, are listed on the form entitled checklist for the resignation termination process.
I confirm that i have attended the return to work interview, and that the. A return to work discussion form outlines the period of sickness, determines if the employee is fit. A copy will be held on the member of staffs personal file. Before adopting any of this return towork policy, you should obtain legal counsel and advice. The purpose of the record is to enable line managers to monitor individual absence levels. Where possible, our forms are provided as both pdf and word documents. These interviews are generally carried out by a line manager as soon as possible after the employees return from sick leave, ideally on their first day back at work. Handling absence in the workplace can be a challenging hr situation for employers. Most companies that use returntowork interviews conduct them after every absence, on the day the employee returns to work. The form should be completed at the conclusion of each return to work interview and a copy provided to the employee. Managing attendance employee well being return to work form. May 21, 2014 for johnnie johnson housing trust training purposes. The form should be returned to the human resources office umc 9510 as soon as possible.
Carrying out returntowork interviews a returntowork interview will normally be part of your organisations absence management policy. A return interview is voluntary and some young people will refuse to talk to you the first few times they are referred. Self certification and return to work interview these interviews are conducted between the colleague and their manager or nominated representative and form an integral part of the societys managing attendance policy and procedures. Click here for a template return to work form to help you structure your meetings. Fillable and printable return to work medical form 2020. Do not use words like unwell or illness were any of the absence days attached to.
The best time to submit this form is with your form n400, this fact sheet attempts to simplify the naturalization eligibility requirements and list of documents that can be asked for during the naturalization interview. Conducting good return interviews for young people who run. The meeting should be formal, polite and relaxed with the manager encouraging discussion. When your employee has returned to work following a sickness absence, you may want to conduct a return to work interview. Before the return to work interview ensure you have. Consider the interview an opportunity to ensure the employees issues are fully explored. If you show you will keep offering, eventually most will want a return visit. Before adopting any of this return to work policy, you should obtain legal counsel and advice. A return to work interview must be conducted after every absence. During the return to work interview, the employee completes this form with his. Return to work interview form rtwi royal veterinary college. These guidelines were developed through a systematic process of assessing consensus between consumers, employers and health professionals.
For johnnie johnson housing trust training purposes. The interview should take place as soon as possible upon their return to work from the last period of absence. In fact, the earlier the discussion is started the less daunting return to work is likely to be. Self certification and return to work interview form esr7. Please use the links provided to find the relevant form. Managers should acknowledge his employees period of absence then discuss it after they return to work. For absences of up to 7 calendar days, this form will act as the self certification. Has the necessary medical certification been presented. This form should be completed and signed by both the member of staff and line manager and returned to the human resources department. The meeting is to enable the member of staff to share concerns about their illness. Fill in this form only if youve been asked to do a work capability assessment. Return to work interview form employee name line managers name establishment section date of meeting. Return to work after sickness absence tips on running a return to work interview the precise format of a return to work interview will depend on the organisation and the absence situation, but some general guidance relates to all return to work discussions. Conducting good return interviews for young people who run away.