Return from Leave Checklist

Return from Leave Checklist — Form Fields

This hr template includes 7 fields. Return from leave checklist for employees coming back from extended absence (medical, parental, sabbatical, etc.). Ensures a smooth transition by confirming system access, schedule, and support needs. Free to customize and use on ZenBuild.

• Employee Name (text, required)
• Return Date (text, required)
• Type of Leave Returning From (dropdown selection, required) — options: Medical / disability leave, Parental leave, Personal / sabbatical, Military leave, Other
• Confirmed Items (check all that apply) (checkboxes, required) — options: System and email access verified, ID badge and building access working, Equipment (laptop, phone) in working order, Met with manager to discuss current priorities, Benefits and payroll status confirmed with HR
• Do you need a modified work schedule for the transition period? (multiple choice, required) — options: No, returning to full schedule, Yes, reduced hours temporarily, Yes, phased return plan
• Do you have any workplace accommodations in place? (multiple choice, required) — options: Yes, No, I need to request accommodations
• Questions or Support Needed (long text, optional)