Employee Absence Return to Work Form Template

About this template

Employees on medical leave for serious health issues need to fill out paperwork in order to return to work. If you manage the HR department for your company, our free Employee Absence Return to Work Form will help your staff seamlessly gather health information from absent employees online. Employees can submit their health care provider information, medical conditions, limits and restrictions, and signatures all at once — you’ll never have to deal with more back-and-forth emails again! Submissions will be safely stored in your secure Jotform account, along with any third-party apps you’ve integrated with your form. Upgrade to an appropriate plan to protect your employees’ health information with HIPAA friendly features.

No matter your industry, you’ll likely want to customize this form to match your company. With our free Form Builder, it’s easy to make modifications to this template without any coding. You can add form fields, ask for more detailed health information, and upload your company’s logo for a more personalized, professional look. Our Form Builder also lets you connect the form to apps such as your Google Drive, Dropbox account, Airtable spreadsheets, and Salesforce (also available on Salesforce AppExchange). With a custom Employee Absence Return to Work Form, your HR department will be able to communicate more effectively with returning employees and provide the proper accomodations for those still in recovery.