Workforce Reintegration Plan Form
Please complete this form to outline the plan for reintegrating an employee into the workforce.
Employee Full Name
*
First Name
Last Name
Employee Email Address
*
example@example.com
Job Title / Position
*
Planned Reintegration Start Date
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Does the employee require any workplace accommodations?
*
No accommodations required
Yes, accommodations needed (please specify below)
If accommodations are needed, please describe them here
Are there any training or upskilling needs identified for the employee?
*
No training required
Yes, training required (please specify below)
If training is required, please describe the training or upskilling needs
Assigned Supervisor/Manager Name
*
Additional Comments or Notes
Submit Plan
Should be Empty: