Return to Work. can return to work on to carry out normal duties Employee’s Name (Date) Without restrictions OR With the following restriction(s) and duration (if applicable): Physician’s/Nurse Practitioner’s/Midwife’s signature:
Appears in 392 contracts
Samples: Collective Agreement, Collective Agreement, Collective Agreement
Return to Work. can return to work on _to carry out normal duties Employee’s Name (Date) Without restrictions OR With the following restriction(s) and duration (if applicable): Physician’s/Nurse Practitioner’s/MidwifePractitioner’s signature:
Appears in 28 contracts
Samples: Collective Agreement, Collective Agreement, Collective Agreement
Return to Work. can return to work on to carry out normal duties Employee’s Name (Date) Without restrictions OR With the following restriction(s) and duration (if applicable): Physician’s/Nurse Practitioner’s/MidwifePractitioner’s signature:
Appears in 22 contracts
Samples: Collective Agreement, Collective Agreement, Collective Agreement
Return to Work. can return to work on to carry out normal duties Employee’s Name (Date) Without restrictions OR With the following restriction(s) and duration (if applicable): Physician’s/Nurse Practitioner’s/Midwife’s signature: Date: SCHEDULE C MEDICAL CERTIFICATE OF READINESS TO RETURN TO WORK FOLLOWING PERSONAL ILLNESS OR INJURY PHYSICIAN INFORMATION NAME:
Appears in 9 contracts
Samples: Collective Agreement, Collective Agreement, Collective Agreement
Return to Work. _can return to work on _ to carry out normal duties Employee’s Name (Date) Without restrictions OR With the following restriction(s) and duration (if applicable): Physician’s/Nurse Practitioner’s/Midwife’s signature: Date: SCHEDULE C MEDICAL CERTIFICATE OF READINESS TO RETURN TO WORK FOLLOWING PERSONAL ILLNESS OR INJURY PHYSICIAN INFORMATION NAME:
Appears in 6 contracts
Samples: Collective Agreement, Collective Agreement, Collective Agreement
Return to Work. can return to work on to carry out normal duties Employee’s Name (Date) Without restrictions OR With the following restriction(s) and duration (if applicable): Physician’s/Nurse Practitioner’s/Midwife’s signature:):
Appears in 3 contracts
Samples: Collective Agreement, Collective Agreement, Collective Agreement
Return to Work. can return to work on to carry out normal duties (Employee’s Name Name) (Date) duties. Without restrictions OR With the following restriction(s) and duration (if applicable): Physician’s/Nurse Practitioner’s/Midwife’s signature:
Appears in 3 contracts
Samples: Collective Agreement, Collective Agreement, Collective Agreement
Return to Work. can return to work on to carry out normal duties Employee’s Name (Date) Without restrictions OR With the following restriction(s) and duration (if applicable): Physician’s/Nurse Practitioner’s/Midwife’s signature: Date: SCHEDULE C MEDICAL CERTIFICATE OF READINESS TO RETURN TO WORK FOLLOWING PERSONAL ILLNESS OR INJURY PHYSICIAN INFORMATION NAME:
Appears in 3 contracts
Samples: Collective Agreement, Collective Agreement, Collective Agreement
Return to Work. can return to work on to carry out normal duties Employee’s Name (Date) Without restrictions OR With the following restriction(s) and duration (if applicable): Physician’s/Nurse Practitioner’s/Midwife’s signature:: Date: MISCELLANEOUS INSTRUCTIONS (2019 – 2021 ROUND) Chartwell Xxxxx
Appears in 2 contracts
Samples: Nursing Homes, Nursing Homes
Return to Work. can return to work on to carry out normal duties Employee’s Name (Date) Without restrictions OR With the following restriction(s) and duration (if applicable): Physician’s/Nurse Practitioner’s/Midwife’s signature: Date:
Appears in 2 contracts
Samples: Collective Agreement, Collective Agreement
Return to Work. can return to work on to carry out normal duties Employee’s Name (Date) Without restrictions OR With with the following restriction(s) and duration (if applicable): Physician’s/Nurse Practitioner’s/Midwife’s signature:
Appears in 2 contracts
Samples: Collective Agreement, Template
Return to Work. can Can return to work on to carry out normal duties Employee’s Name (Date) Without restrictions OR With the following restriction(s) and duration (if applicable): Physician’s/Nurse Practitioner’s/Midwife’s signature:
Appears in 1 contract
Samples: Collective Agreement
Return to Work. can return to work on to carry out normal duties (Employee’s Name Name) (Date) Without restrictions OR With the following restriction(s) and duration (if applicable): Physician’s/Nurse Practitioner’s/MidwifePractitioner’s signature:
Appears in 1 contract
Samples: Collective Agreement
Return to Work. can return to work on to carry out normal duties Employee’s Name (Date) Without restrictions applicable): OR With the following restriction(s) and duration (if applicable): Physician’s/Nurse Practitioner’s/MidwifePractitioner’s signature:
Appears in 1 contract
Samples: Collective Agreement
Return to Work. can return to work on to carry out normal duties Employee’s Name (Date) Without restrictions OR With the following restriction(s) and duration (if applicable): Physician’s/Nurse Practitioner’s/MidwifePractitioner’s signature: Date:
Appears in 1 contract
Samples: Collective Agreement
Return to Work. can return to work on _to carry out normal duties Employee’s Name (Date) Without restrictions OR With the following restriction(s) and duration (if applicable): Physician’s/Nurse Practitioner’s/MidwifePractitioner’s signature: Date:
Appears in 1 contract
Samples: Collective Agreement