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Return To Work Authorisation Form

Return To Work Authorisation Form Template for England and Wales

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Key Requirements PROMPT example:

Return To Work Authorisation Form

"I need a Return To Work Authorisation Form for an employee returning from long-term sick leave due to surgery, with provisions for a phased return starting March 2025 and specific workplace adjustments for reduced mobility."

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The Return To Work Authorisation Form is a crucial document used in England and Wales when employees return to work following any significant absence, whether due to illness, injury, or other circumstances. This form serves multiple purposes: ensuring legal compliance with health and safety regulations, documenting fitness for work, recording any necessary workplace adjustments, and protecting both employer and employee interests. It should be completed before an employee resumes their duties and typically requires input from various stakeholders including the employee, line manager, and potentially occupational health professionals.
Suggested Sections

1. Employee Information: Basic details including name, employee ID, department, role

2. Absence Information: Reason for absence, duration, return date

3. Health Declaration: Employee's confirmation of fitness to return

4. Manager Authorization: Approval section for line manager

5. Data Protection Statement: Information about how health data will be processed and stored

Optional Sections

1. Medical Certification: Required for absences over 7 days or specific health conditions

2. Phased Return Details: Used when employee requires graduated return to work

3. Workplace Adjustments: Required when modifications to workplace or duties are needed

4. Occupational Health Review: Used for long-term absence or specific health conditions

Suggested Schedules

1. Risk Assessment Form: Detailed assessment of workplace risks and mitigations

2. Medical Certificate: Attached when provided by healthcare professional

3. Phased Return Schedule: Detailed timeline of graduated return to full duties

4. Workplace Adjustment Plan: Specific modifications required for safe return

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok³ÉÈË°æ | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

alex.den.21@genieai.co
Relevant legal definitions






















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Relevant Industries
Relevant Teams
Relevant Roles
Industries

Health and Safety at Work Act 1974: Primary legislation establishing employers' general duty to ensure employee health, safety, and welfare, including risk assessment requirements

Management of Health and Safety at Work Regulations 1999: Detailed requirements for workplace risk assessments and special considerations for vulnerable workers

Equality Act 2010: Legislation protecting against discrimination, requiring reasonable adjustments for disabled employees, and ensuring pregnancy and maternity protections

Data Protection Act 2018 and UK GDPR: Regulations governing the processing of health data, confidentiality requirements, and data storage/sharing protocols

Employment Rights Act 1996: Law protecting employment terms, establishing rights during absence, and requiring reasonable adjustments to working conditions

The Working Time Regulations 1998: Regulations controlling maximum working hours, rest breaks, and adjustments to working patterns

Access to Medical Reports Act 1988: Legislation establishing consent requirements for medical information and employee rights regarding medical reports

Coronavirus legislation: Current workplace safety requirements and risk assessment protocols specific to COVID-19, where still applicable

Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks,  Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination,  Severance Pay, Governing Law, Entire Agreemen

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