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Medical Return To Work Letter Template for Indonesia

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Key Requirements PROMPT example:

Medical Return To Work Letter

"I need a Medical Return To Work Letter for an employee returning from a major surgery, including provisions for a gradual return to work starting March 15, 2025, with specific lifting restrictions for our manufacturing facility in Jakarta."

Document background
The Medical Return To Work Letter is a vital document in Indonesian workplace health and safety compliance, required whenever an employee returns to work following a significant illness, injury, or medical procedure. This document, governed by Indonesian labor laws including Law No. 13 of 2003 on Manpower and Law No. 36 of 2009 on Health, provides official medical clearance for an employee to resume their duties. It typically includes the medical professional's assessment, any necessary workplace accommodations, and specific conditions for return to work. The letter serves multiple purposes: protecting the employee's health interests, limiting employer liability, ensuring workplace safety, and complying with BPJS healthcare documentation requirements. It's particularly crucial in cases involving workplace injuries, extended medical leave, or when modifications to work duties are necessary.
Suggested Sections

1. Letter Header: Official letterhead of the medical facility/practitioner, including contact information and medical license number

2. Date and Reference Number: Current date and any relevant medical reference numbers

3. Employee Information: Full name, employee ID, position, and department of the employee

4. Absence Period: Specific dates of the medical leave period

5. Return to Work Date: Clear statement of when the employee is cleared to return to work

6. Fitness Declaration: Statement confirming the employee is medically fit to return to work

7. Medical Professional's Signature: Signature, name, and credentials of the authorizing medical professional

Optional Sections

1. Work Restrictions: Any temporary or permanent work restrictions or accommodations required for the employee's return

2. Follow-up Requirements: Any necessary follow-up appointments or ongoing medical monitoring

3. Gradual Return Plan: Details of a phased return to work schedule if applicable

4. Previous Condition Reference: Brief reference to the nature of the medical condition, if relevant and with patient consent

5. BPJS Reference: Reference to BPJS (Indonesian national healthcare) details if the treatment was covered under the scheme

Suggested Schedules

1. Medical Restrictions Form: Detailed form outlining specific work restrictions or accommodations if applicable

2. Gradual Return Schedule: Detailed schedule for phased return to work if recommended

3. Workplace Accommodation Checklist: List of required workplace modifications or accommodations if needed

Authors

Alex Denne

Head of Growth (Open Source Law) @ tiktok成人版 | 3 x UCL-Certified in Contract Law & Drafting | 4+ Years Managing 1M+ Legal Documents | Serial Founder & Legal AI Author

Relevant legal definitions




















Clauses















Relevant Industries

Healthcare

Manufacturing

Construction

Mining

Oil and Gas

Technology

Retail

Education

Financial Services

Transportation

Hospitality

Agriculture

Pharmaceutical

Telecommunications

Public Sector

Relevant Teams

Human Resources

Occupational Health and Safety

Legal

Compliance

Risk Management

Employee Relations

Benefits Administration

Medical Services

Operations Management

Relevant Roles

Human Resources Director

HR Manager

Occupational Health Nurse

Health and Safety Manager

Employee Relations Manager

Workplace Health Coordinator

HR Business Partner

Benefits Administrator

Risk Management Officer

Compliance Officer

Line Manager

Department Supervisor

Medical Officer

Occupational Health Physician

HR Compliance Specialist

Industries






Teams

Employer, Employee, Start Date, Job Title, Department, Location, Probationary Period, Notice Period, Salary, Overtime, Vacation Pay, Statutory Holidays, Benefits, Bonus, Expenses, Working Hours, Rest Breaks, 聽Leaves of Absence, Confidentiality, Intellectual Property, Non-Solicitation, Non-Competition, Code of Conduct, Termination, 聽Severance Pay, Governing Law, Entire Agreemen

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