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Modified Duty Non-OJI

Modified duty is a benefit that may be provided to an employee with a medical need, not OJI related, when jobs are available, and all paperwork is complete. Modified duty assignments are given based on the need and the employee’s restrictions. When we have no jobs available, the injured employee will be required to use benefit time to cover any missed hours.

To start the process for modified duty non-OJI, the following forms must be completed and submitted to Safety@medic911.com. If approved for a modified duty job, the Case Coordinator will contact the employee to provide time and date to begin.

The Employee Completes:

2 – Modified Duty Request Policy and Form

4 – MOU – Confidentiality Agreement

The Doctor Completes:

1 – Physicians Modified Duty Form