Fillable Get File-uuid-e27025e8-407b-4cf1-b2c4-283fbf84e112-groupId-4202574 Transitional Employment Plan

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File type: PDF

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Transitional Employment Plan
Physical Capacities/Limitations
Date Limitations Began
Next Review Date
Plan Specifications
Start Date
End Date
Describe job and/or specific tasks:
Describe hours/day and days/week, including progression schedule:
Special considerations:
This Transitional Employment Plan has been reviewed and discussed with me to clarify any
questions I may have. I have been provided with a copy of this plan and I understand my
supervisor will retain a copy. Should I experience any difficulties while performing
transitional work, I will immediately contact my supervisor.
Employee Signature
Date
I have reviewed and discussed this Transitional Employment Plan with the employee. In
addition, I have provided a copy of the plan to the employee.
Supervisor Signature
Date
HR Analyst
Employee Name Department
Supervisor Regular Job Title/Class
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Completed 30 June 2020

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