Instructions: Edit any information below and click "Export Word" to generate the document.
Hi
,
, and
,
Hi
and
,
I’ve located a virtual placement for
,
Claim Number:
,
DOI:
,
and attached the Offer Packet to be sent. Please review
the placement details below then follow the instructions for sending the offer packet. This is a time sensitive process, so please reach out as soon as possible with any questions.
Virtual Placement Location:
TWS Meeting:
(via phone)
NPO Meeting:
(via zoom)
Schedule:
Job Duties:
Other tasks may be assigned within physical restrictions. Tasks are self-paced, not production oriented.
Instructions for sending Offer Packet
Review the Offer Packet for accuracy. Be sure to let me know if there are changes that need to be made.
Presenting the Job Offer
The job offer can be presented to [[formData.employeeName]] in person or emailed with E-Signature. Ensure the employee understands this is an extension to their employment therefore all HR policies apply including attendance. The employee should try to schedule all medical appointments around their work schedule. If they are unable to do so they should still be coming in before and or after all medical appointments and making up as much time as possible. The employee will remain on payroll and be paid their full hourly rate.
The job offer will be presented to [[formData.employeeName]] via email with E-Signature. Ensure the employee understands this is an extension to their employment therefore all HR policies apply including attendance. The employee should try to schedule all medical appointments around their work schedule. If they are unable to do so they should still be coming in before and or after all medical appointments and making up as much time as possible. The employee will remain on payroll and be paid their full hourly rate.
If Hand Delivering
- [[formData.jobSiteAltContact]]:[[formData.nurseCaseManager]]/[[formData.claimsAdjusterName]]:Please work with [[formData.employeeName]] to present the modified duty assignment. You should advise of the assignment details and answer any questions.
- Please have [[formData.employeeName]] sign the page two acknowledging acceptance of the light duty assignment. Email a copy of the signed acceptance page for our files, and keep a copy for your records.
Instructions for Emailing with E-Signature
- [[formData.jobSiteAltContact]]:[[formData.nurseCaseManager]]:call [[formData.employeeName]] to discuss modified duty assignment with them; advise of details and that you will be emailing their offer letter that day, and that the offer letter will require Esignature via DocuSign.
- [[formData.jobSiteAltContact]]:[[formData.nurseCaseManager]]:email Offer Letter to participant via provided below TWS link. [[formData.employeeName]] will need to click the link, and enter the passcode provided below to access the offer letter. The signed copy will upload directly to TWS.
DocuSign Link: https://docusign.com/accessdocuments
Code:*This code will expire in 48 hours for security*
Presenting to Claimant Attorney
- [[formData.jobSiteAltContact]]:[[formData.claimsAdjusterName]]:[[formData.claimsAdjusterName]]:email Offer Packet to claimant attorney via provided below TWS link. The attorney will need to click the link, and enter the passcode provided below to access the offer packet. The offer packet’s cover page is addressed to the claimant attorney and asks for their signature approving TWS’ communication with participant pertaining to technical support. The signed copy will upload directly to TWS.
DocuSign Link:
Code:*This code will expire in 48 hours for security*
Upon Acceptance
Upon signature of acceptance of the modified duty assignment, please notify me immediately. Best practice is to obtain signature within 24 hours of receipt of this offer packet. If [[formData.employeeFirstName]] will not be able to report as scheduled for any reason, please let me know right away so that I can inform the nonprofit. TWS will then mail the necessary equipment to [[formData.employeeName]]. I will provide tracking information at that time.
Upon signature of acceptance of the modified duty assignment, please notify me immediately. Best practice is to obtain signature within 24 hours of receipt of this offer packet. If [[formData.employeeFirstName]] will not be able to report as scheduled for any reason, please let me know right away so that I can inform the nonprofit. TWS will then mail the necessary equipment to [[formData.employeeName]]. I will provide tracking information at that time.
Please let me know if you have any questions.
Thanks!