RETURN TO WORK

SFRHRD-036 V2 Effective Date: April 2025 · Secure Approver Auth

NAME

DATE PREPARED

POSITION

MACHINE / LOCATION

DEPARTMENT

IMMEDIATE SUPERIOR

From Suspension

From Sick Leave/Emergency Leave

Fit to Work Clearance FTW Date:

Documentation to justify emergency leave/authorized absence

📎 Link to file (Ex. Google Docs):

📜 I hereby attest that the attached Medical Certificate and Fit to work (FTW) Clearance and/or documentation to justify my emergency leave/authorized absence are authentic.

✍️ Employee Signature over Printed Name:

✅ Approval Dashboard · Multi‑stage + Secure Auth

🔐 Each Approval Action Requires Valid Login | Ask RG&Co For Login Credentials

Created	Employee / Position	Dept	Return Type	FTW Status	HR Acknowledgment	Supervisor Review	Manager Recommend	Director Approval	📄 Load/Print	🔗 Copy Link
Loading RTW requests...