Return to Work Letter Template and Sample

Subject: Return to Work Letter

Dear [ Employee Name ],

This Return to Work Letter confirms your scheduled return to work with [ Company Name ] and outlines the terms, effective dates, and any actions required prior to resuming duties.

Employment terms

Position: [ Position Title ]
Reporting manager: [ Manager Name ]
Work location: [ Work Location ]
Employment status: [ Employment Status ]

Effective dates

Return date: [ Return Date ]
Standard work schedule: [ Work Schedule ]
Reporting time on first day: [ Reporting Time ]

Conditions or actions required

Please provide any required documentation or medical clearance to [ Contact Person ] at [ Contact Email ] by [ Document Deadline ].
If a temporary adjustment is needed, confirm the details with [ Manager Name ] before [ Return Date ].

Responsibilities and acknowledgements

By returning to work you confirm you are able to perform the essential duties of the position listed above unless otherwise agreed in writing.
Please confirm acceptance of these terms by signing and returning this letter or by emailing confirmation to [ HR Contact Email ] by [ Acknowledgement Deadline ].

We look forward to your safe and successful return to work. If you have questions prior to your return, please contact [ HR Representative Name ], [ HR Representative Title ], at [ HR Contact Email ] or [ HR Contact Phone ].

Warm regards,

[ HR Representative Name ]
[ HR Representative Title ]
[ Company Name ]

Acknowledgement

I acknowledge receipt of this Return to Work Letter and accept the terms outlined above.

Employee signature: ________________________ Date: [ Date ]