Return to work form Staff Full NameJob TitleToday's date1st Date of AbsenceDate Returned to workNumber of working days absentAre you: full time / part time *State briefly why you were unfit for work (specify nature of illness or injury. Words like “illness” or “unwell” are not enough)Upload Evidence:Choose FileNo file chosenDelete uploaded fileI reported my absence to:On (date) Send Message
