Download our free Return to Work Letter template and explore samples for a smooth transition back to the workplace. A sample fitness-for-duty form for an employee's health care provider to complete releasing the employee back to work.In this article, we'll share how you can draft a solid return to work letter, along with three excellent tips and a free sample template you could use today. Return To Work Letter. Use this custom Return to Work Letter Form to instantly generate return to work letters for your employer. This article will provide a detailed guide on crafting an effective RTW letter, including its importance, essential components, and a sample template. Have you been released to return to work? JAN offers a number of sample forms. Employers may use these sample forms as a template for customizing forms or documents used during the interactive process. Thirdparty medical case management provider and will request a followup examination for the injured worker.