Job Offer Letter Spanish Letter Sample Job Offer Letter Page 2

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Date: _____________
Name of Employee ______________________________________
Address
__________________________________________
City, State, Zip __________________________________________
SAIF Claim Number: ___________________
Date of Injury: ________________________
Dear ________________________:
Your attending physician has released you for modified work. We have developed a temporary light duty
job within the physical restrictions outlined by your doctor. Your doctor has reviewed and approved a
description of the light duty job (see enclosed job description). The duration of this light duty position will be
periodically re-evaluated.
Job title:
Wage: $
per
Report to:
Start date:
Start time:
Hours per day:
Days per week:
Location:
Duration, if known:
Upon receipt of this job offer immediately contact: _________________________________________.
If you receive this letter after the start date of this job, the job will begin 24 hours after your receipt of this
offer. Your workers’ compensation benefits may be adversely affected if you choose not to accept this job.
Under Oregon law, you have the right to refuse an offer of employment without termination of temporary
total disability if any of the following conditions apply:
The offer is at a site more than 50 miles from where the worker was injured, unless the work site is less than
50 miles from the worker’s residence, or the intent of the employer and worker at the time of hire or as
established by the employment pattern prior to the injury was that the job involved multiple or mobile work
sites and the worker could be assigned to any such site. Examples of such sites include, but are not limited to
logging, trucking, construction workers, and temporary employees;
The offer is not with the employer at injury;
The offer is not at a work site of the employer at injury;
The offer is not consistent with existing written shift change policy or common practice of the employer at
injury or aggravation; or
The offer is not consistent with an existing shift change provision of an applicable union contract.
If you refuse this offer of work for any of the reasons listed in this notice, you should write to the insurer
or employer and tell them your reason(s) for refusing the job. If the insurer reduces or stops your
temporary total disability and you disagree with that action, you have the right to request a hearing. To
request a hearing you must send a letter objecting to the insurer’s action(s) to the Worker’s
th
Compensation Board, 2601 25
Street SE, Suite 150, Salem, Oregon 97302-1282.
Sincerely,
I have read and understand this job offer. I accept this job as offered. Yes ____ No ____
____________________________________________________________________________
Employee Signature
Date

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