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Employment or Work Application - General

Employment Work Form With Restrictions In Minnesota

Category:

Employment - Applications

State:

Multi-State

Control #:

US-00413

Format:

Instant download

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Description

This form is an Employment Application. The form provides that applications are considered without regard to race, color, religion, or veteran status.

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Describe any restrictions in functional terms (e.g. , employee can lift up to 20 pounds, 15 times per hour; should have 10 minute break every hour). 3.Your medical doctor is required to fill out a work restrictions form that clearly defines your medical restrictions. The report of work ability form is used to assist the employee, employer and the workers' compensation provider (MCIT) understand work restrictions. Permanent Work Restrictions. The Employee may come back to work if they have a Report of Work Ability Form from a medical professional outlining the work restrictions. MnDOT will make a reasonable effort to return employees to work who have temporary or permanent work restrictions due to non-work related illnesses or injuries.

Employment Work Form With Restrictions In Minnesota

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