Offer of Modified Work Duties Form

Clear Accommodation. Documented Expectations. Reduced Risk.

The Offer of Modified Work Duties Form provides a structured and compliant way to document temporary or permanent duty changes when an employee requires modified work due to injury, illness, disability, or other accommodation needs. It helps ensure updated duties, restrictions, timelines, and expectations are recorded clearly and consistently.

This tool supports a respectful and practical accommodation process by confirming the modified duties offered and the employee’s understanding of the arrangement. It strengthens accountability, reduces misunderstandings, and creates a reliable record that can be referenced if questions arise later.

Your purchase includes 15 minutes of consulting time with an HR Consultant to assist with customization and implementation.

Upon purchase, an HR Consultant will contact you within 24 hours to begin customization and answer any related questions.

Importance of Proper Documentation

Without clear documentation of modified duties and accommodation expectations, organizations may be exposed to:

• Confusion or disputes about restrictions, duties, and timelines
• Inconsistent accommodation practices and employee relations concerns
• Increased legal exposure and compliance risk
• Delays in return-to-work planning and follow-up requirements

A well-documented modified duties offer supports a fair accommodation process, protects the organization, and ensures expectations are clear, consistent, and aligned with workplace standards.