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Phased Return to Work Form

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What is it?

A phased return to work form is a form that enables employees to gradually resume their regular duties or full-time jobs after a long sick or injury leave. Filling out this form will assist a company in gently reintroducing employees to their regular work schedules by making proper adjustments to their work plans.

When to use?

Consider using this phased return to work form template anytime you have an employee who wants to gradually resume their regular duties after a long sick or injury leave. Having this template on hand will help you to easily create a resumption schedule as well as make the overall process more repeatable and efficient.

What to include?

  • Employee information
  • Date 
  • Employee working hours
  • Reasons for long absence
  • Normal working pattern 
  • New working pattern
  • Additional information
  • Signatures 
Date returned to work
Employee information
First name
Middle name
Last name
Contact information
Phone number
Email address
Job information
Department
Job title
Working hours (Kindly tick correctly)
Full time Part time
First date unfit for work
Last date unfit for work
Reasons for long absence?
Sickness Accident Maternity Other
Normal working hours pattern
Days of the week SUN MON TUE WED THU FRI SAT
Numbers of working hours
New working hours pattern
Week 1
Numbers of working hours
Week 2
Numbers of working hours
Week 3
Numbers of working hours
Week 4
Numbers of working hours
Additional information
Employee signature
Manager signature

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Manatal is the best ATS we worked with. Simplicity, efficency and the latest technologies combined make it an indispensable tool for any large-scale HR team. Since its adoption, we've seen a huge increase across all our key recruitment metrics. To summarize, it is a must-have.
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Senior Talent Acquisition - Manpower Group
Manpower has been using Manatal and we couldn't be happier as a team with the services this platform has provided. The application is extremely user-friendly and very well equipped with all the useful functions one would required for successful recruitment. The support team is also excellent with very fast response time.
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Manatal is a sophisticated, easy-to-use, mobile-friendly, and cloud-based applicant tracking system that helps companies achieve digitalization and seamless integration to Linkedin and other job boards. The team at Manatal is very supportive, helpful, prompt in their replies and we were pleased to see that the support they offer exceeded our expectations.
Maxime Ferreira
International Director - JB Hired
Manatal has been at the core of our agency's expansion. Using it has greatly improved and simplified our recruitment processes. Incredibly easy and intuitive to use, customizable to a tee, and offers top-tier live support. Our recruiters love it. A must-have for all recruitment agencies. Definitely recommend!
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HR Manager, Talent Sourcing & Acquisition - Suntory PepsiCo Beverage
I am using Manatal for talent sourcing and it is the best platform ever. I am so impressed, the Manatal team did an excellent work. This is so much awesome, I am recommending the solution to all recruiters I know.
Bill Twinning
Talent Resources & Development Director - Charoen Pokphand Group
Manatal is the best ATS we worked with. Simplicity, efficency and the latest technologies combined make it an indispensable tool for any large-scale HR team. Since its adoption, we've seen a huge increase across all our key recruitment metrics. To summarize. it is a must-have.
Ahmed Firdaus
Director - MRINetwork, Executive Search Firm
I've been using Manatal for the past couple of months and the platform is excellent, user-friendly and it has helped me a lot in my recruitment process, operation and database management. I'm very happy with their great support. whenever I asked something they come back to me within minutes.
Dina Demajo
Senior Talent Acquisition - Manpower Group
Manpower has been using Manatal and we couldn't be happier as a team with the services this platform has provided. The application is extremely user-friendly and very well equipped with all the useful functions one would required for successful requirement. The support team is also excellent with very fast response time.
Kevin Martin
Human Resources Manager - Oakwood
Manatal is a sophisticated, easy-to-use, mobile-friendly, and cloud-based applicant tracking system that helps companies achieve digitalization and seamless integration to Linkedin and other job boards. The team at Manatal is very supportive, helpful, prompt in their replies and we were pleased to see that the support they offer exceeded our expectations.
Maxime Ferreira
International Director - JB Hired
Manatal has been at the core of our agency's expansion. Using it has greatly improved and simplified our recruitment processes. Incredibly easy and intuitive to use, customizable to a tee, and offers top-tier live support. Our recruiters love it. A must-have for all recruitment agencies. Definitely recommend!
Ngoc-Thinh Tran
HR Manager, Talent Sourcing & Acquisition - Suntory PepsiCo Beverage
I am using Manatal for talent sourcing and it is the best platform ever. I am so impressed, the Manatal team did an excellent work. This is so much awesome, I am recommending the solution to all recruiters I know.

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