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Return to Work Program

Section: Personnel Index: C-11


It is the policy of the University of Houston-Victoria (UHV) to return employees to meaningful, productive employment following work-related  injuries or illnesses.  If an employee is able to work but is unable to return to his or her regular duties, this policy is designed to provide methods for the employee to return to work in a modified or alternative assignment. 

The Human Resources Department will administer the University’s return-to-work program.  The Human Resources Payroll Manager has been designated as both  the Return-to-Work Program Coordinator and  Workers’ Compensation Claims Coordinator (Program Coordinator). 

This policy documents specific procedures to guide employees through the university’s return-to-work program.  All procedures have been reviewed by the HR Director, the Program Coordinator, and the campus Risk Manager.  This document is in compliance with UHS Administrative Memorandum 01.C.01, Return-to-Work Program On-the-Job Injuries and State Office of Risk Management Return-to-Work Program guidelines. (References)

The return-to-work program provides opportunities for employees to return to work following illness or injury. The return-to-work program includes opportunities for any university employee covered by workers’ compensation insurance who sustains a compensable injury or illness during the course and scope of employment, to return to work at full or temporary duty.  If the employee is not physically capable of returning to full duty, the return-to-work program provides possibilities, when available, for the employee to perform a temporary assignment in which the employee’s regular position is modified to accommodate the employee’s physical capacities, or to a temporary assignment with alternate duties.  All return-to-work decisions require the approval of the employee’s departmental supervisor, the Program Coordinator and the Director, Human Resources/Equal Opportunity/Title IX Coordinator (the HR Director).

This return-to-work program shall not be construed as recognition by this university, its management, or its employees that any employee who participates in the program has a disability as defined by the Americans with Disabilities Act Amendments Act (ADAAA) of 2008. If an employee sustains an injury or illness that results in a disability, it is the employee's responsibility to inform the supervisor or a person in a responsible management position when a disability under the ADAAA exists, and that a reasonable accommodation may be necessary to perform the essential functions of his or her job.

The University complies with the ADAAA which prohibits discrimination against qualified individuals with disabilities. Nothing in this policy shall be used as the basis for illegal discrimination against any individual or group.

The University complies with the Family and Medical Leave of Absence (FMLA) Act of 1993. The policy on FMLA is detailed in UHV Administrative Policy and Procedure, C-26 Family and Medical Leave (References).

All employees during the hire-in process and again upon an on-the-job injury, should that occur, shall be provided information by the Human Resources Department about the Workers’ Compensation Benefit Program as well as medical care information for work-related injuries and illnesses. Employees shall acknowledge receipt of this information in writing.

It is a violation of the return-to-work policy, procedures, and state or federal law for any employee, supervisor, or manager of the university to discharge or in any other manner discriminate against an employee of this agency because the employee:



Statement of Responsibilities

The success of the UHV Return-to-Work Program requires an understanding of the roles and responsibilities of key participants:

  1. The supervisor is responsible for:

    1. Ensuring prompt medical attention for an employee injured or becoming seriously ill on the job. If appropriate, the supervisor or another employee may accompany the injured or ill employee to the medical provider;
    2. Training employees on proper reporting of incidents and injuries and return-to-work procedures;
    3. Determining whether meaningful modified or alternate duty assignments meeting the employee’s medical/work restrictions would be available;
    4. Should the employee request and qualify for a temporary assignment, ensuring the employee’s job position description accurately indicates the physical requirements and the essential and non-essential functions of the position;
    5. Ensuring that the employee returning to a temporary assignment follows the medical work restriction of the health care provider.
    6. Providing information requested by the Program Coordinator.
  2. The Worker’s Compensation Claims Coordinator (Program Coordinator) has two primary areas of responsibility:

    Return-to-Work Program Responsibilities

    1. Ensuring that the program is applied consistently, in compliance with the ADAAA, FMLA and the Texas Workers' Compensation Act;
    2. Acting as the Return-to-Work Coordinator, taking a proactive approach in the return-to-work program and monitoring return-to-work activities;
    3. Providing the employee with information on how to get health care for their injury under worker’s compensation insurance and requiring a signed acknowledgement from the employee (References);
    4. Acting as the university’s representative;
    5. Providing SORM-85 to employee to give to treating doctor;
    6. Providing DWC-73 to employee to give to treating doctor;
    7. Communicating regularly with the injured employee and the doctor after each follow-up visit if the employee is off work;
    8. Providing information to doctors, including the injured employee’s job description, to help them understand the employee's regular job, the employer's return-to-work program, and available work alternatives;
    9. Sending a Bona Fide Offer of Employment letter, via certified mail to the employee, offering temporary or transitional assignment, if the medical provider indicates modified duty is acceptable;
    10. Sending a copy of the Bona Fide Offer letter and DWC-73 to the SORM adjuster;
    11. Maintaining contact with the health care provider, the insurance company, the employee, and the employee's supervisor;
    12. Maintaining necessary records and other reporting requirements for incidents and injuries.

    Injury Reporting Responsibilities

    Complete SORM forms required to notify carrier of injury/incident, including:

    1. DWC-1S First Report of Injury
    2. DWC-3 Wage Statement
    3. DWC-6 Supplemental Report
    4. SORM-16 Medical Information Release
    5. SORM-80 Election of Leave
    6. SORM-29 Employee's Report of Injury
    7. SORM-74 Witness Statement
  3. The employee is responsible for:

    1. Understanding university procedures for reporting injuries, and reporting any injury or job related illness immediately to your supervisor;
    2. Understanding that medical care provider information for on-the-job injuries under the workers’ compensation program will be provided by the Human Resources Department and that HR will answer questions you may have;
    3. If restricted for any type of work, notifying supervisor immediately, and if off work, at least once a week to let them know how you are doing;
    4. Providing copy of DWC 73 to the Return-to-Work Coordinator if health care provider releases you to restricted duty;
    5. If health care provider releases you to work, return to work on the next scheduled shift;
    6. If health care provider issues medical/work restrictions for an alternative work assignment, follow those orders.

Temporary Assignments

If the employee is not physically capable of returning to full duty, the return-to-work program provides opportunities, when available, for offering the employee a temporary assignment in which the employee's regular position is modified to accommodate the employee's physical capacities, or a transitional assignment with alternate duties. Assignment of any employee to a transitional position or modified regular position in accordance with the return-to-work program requires the approval of the HR Director,  Program Coordinator and the supervisor.

If an employee is unable to return to regular duties, either the employee or the university may request a temporary assignment. Performance of a temporary job assignment is intended to return an injured employee to work at less than his or her full duties when a compensable injury or serious medical condition prevents the employee from working full duty.

Temporary assignments are subject to the following conditions:

  1. Assignments are available for six months only;
  2. Once the employee’s health care provider certifies that the employee can return to work, the supervisor must adhere to the employee’s medical/work restrictions;
  3. Supervisors are responsible for ensuring the employee’s position description accurately indicates the physical requirements and the essential and non-essential functions of the position;
  4. An employee who returns to work in a temporary assignment may be assigned to another work site within the university, depending upon the availability of vacant positions or the limitations or abilities of the employee;
  5. An employee will not be placed into a temporary position if the assignment would displace another current employee;
  6. An employee in a temporary assignment is responsible for providing periodic reports from his or her health care provider during the period of the temporary assignment;
  7. The employee's hourly wages or monthly salary in a transitional assignment shall be paid by the employee's home department or division. If a temporary assignment warrants a pay change for the affected employee, the HR Director is responsible for determining the correct pay rate. In the case of a faculty member, the HR Director will work with the Vice President for Academic Affairs in this determination. If a pay change is warranted, the Program Coordinator will notify the State Office of Risk Management adjustor to evaluate whether additional benefits are available;

There are two types of temporary assignments: modified duty and alternate duty. The university will consider the employee’s or supervisor's request for return-to-work to a temporary assignment according to the following criteria:

Bona Fide Offer of Employment

Assignment to any of the types of positions described under Temporary Assignments will be documented in a "Bona Fide offer of employment" letter (References) to the employee. The employment letter shall follow the format of the sample letter which includes the requirements of Texas Workers’ Compensation Commission Rule 129.6. The letter will include:

  1. a statement that the university is aware of and will abide by any physical limitations under which the health care provider has authorized the employee to return to work and will provide training if necessary, for the position being offered;
  2. the type of position offered and the specific duties;
  3. the maximum physical requirements of the job;
  4. the wage rate of the job (determined on a case basis by HR Director);
  5. the location of the assignment;
  6. the expected assignment duration;
  7. the consequences of not accepting the assignment, in terms of duration and any income benefits payable under the Texas Workers' Compensation Act, and any other relevant leave provisions. The letter is to state that the university cannot guarantee that a position will be available should the employee fail to accept the assignment;
  8. the person to contact if the employee has questions regarding the assignment, job modifications, or other relevant leave provisions;
  9. a required written acknowledgement and response from the employee.

The employee may accept or reject this bona fide offer of employment. The employee should be informed that rejection of the bona fide offer of employment may result in workers' compensation temporary income benefits (if applicable) being stopped or reduced by the State Office of Risk Management as the state's insurance carrier. If the employee accepts the bona fide offer of employment, then the employee shall perform the duties of the position for the term of the assignment or until the employee is able to return to full duty, whichever is sooner in the case of a temporary assignment.

If the employee rejects the bona fide offer of employment, then the employee remains off work until the end of any approved leave period or until the employee is certified by the health care provider to return to full duty.

In the case of a temporary assignment, if the employee is unable to return to full duty by the end of the assignment period and/or by the end of the employee's approved leave period, then the employee's continued employment with the university shall be evaluated, based upon the operational business necessity of filling the employee's position.


  1. UHS Policy 01-C-10, Return-to-Work Program
  2. UHV Policy, C-26 Family and Medical Leave
  3. Texas Workers Compensation Act
  4. Sample Bona Fide "offer of employment" letter
  5. SORM Return-to-Work Management Checklist
  6. Program Coordinator Timely Filing Checklist
  7. Numeric Listing of Workers’ Compensation Forms
  8. State Office of Risk Management (SORM) Return to Work Program

Approved by:

Signature Obtained                      7/7/2016
Raymond V. Morgan Jr., Ph.D        Date

Origination: Human Resources Department
Next Review Date: July, 2021 (5 years)