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Return-to-work plan: template 1

Use this template to create a return-to-work (RTW) plan for an employee returning to work.

  • Free
  • All locations

About this resource

This template is a useful way to prepare and document a RTW plan for an employee returning to work after a mental health issue. The RTW coordinator and the employee can work together to decide:

  • the employee’s RTW goals
  • starting number of work days and hours
  • target number of work days and hours
  • breaks and other adjustments
  • duties.

There is also space to record the employee’s personal details, and comments and actions during the plan period. The template covers a 4-week period, but this can be shortened or extended as appropriate. 

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