Offer of Modified Work Form — Custom Logo PDF Download

Document and formalise the offer of modified or light duties to injured workers with a professionally designed, branded form. The Offer of Modified Work Form creates a clear written record that an employer has offered modified duties to an injured worker — a critical requirement for managing WCB and workers’ compensation claims and demonstrating due diligence under provincial OHS and workers’ compensation legislation.

Each form is customised with your company logo and name, then emailed to you as a ready-to-print PDF. Upload your logo at checkout or supply your company name for text-only branding.

Product Specifications:
→ Size: 8.5" x 11" (Letter)
→ Delivered as a print-ready PDF
→ Custom company logo or name
→ Ready to print and use immediately

Built For:
Canadian employers, HR managers, and safety supervisors managing return-to-work programmes and WCB claims. Supports compliance with provincial workers’ compensation requirements and demonstrates due diligence in modified work offers across Alberta and all Canadian provinces.