This Letter Is Typically Used to Discontinue a Trial

LETTER 5 – TRIAL DISCONTINUATION

This letter is typically used to discontinue a trial.

PLEASE NOTE

The language in this DRAFT letter is intended for use only as a model. Each case is unique and specific language will be required in every instance. Any italicized and bolded text or any text between these two symbols < > needs to be removed or replaced appropriately for each case. Your own ministry letterhead must be used. Your Early Intervention & Return to Work Specialist is available to provide advice.

<Date>

<Employee’s name>

<Employee’s address>

Dear <Employee>:

Re: Discontinuation of Your Return-to-Work Trial

<OPTION #1 where employer is ending trial>

As discussed, this letter is to confirm that your <Short Term Illness and Injury Plan (STIIP) trial> <Long Term Disability rehabilitative employment trial> has been discontinued effective <date>, <as you have been unable to work due to illness since <date> of your return to work schedule.> OR <as you have reported an increase in symptoms during this work trial.> OR <as a result of your inability to carry out your assigned duties on a regular and continuous basis.>

<OPTION #2 where employee has provided satisfactory evidence of his/her inability to continue with their trial>

Thank you for contacting me regarding your most recent medical information and your inability to return to work at this time. As a result, your trial must be discontinued, effective <date>.

I will continue to actively work with you, your personal physician and Occupational Health Programs in return-to-work planning, including identifying future trial opportunities. As you are aware, return-to-work planning may include options such as a gradual or full return trial with modified or full duties.

During your absence, additional STO2s will be requested in order to identify your capabilities, limitations and fitness to return to work. Prior to returning to work, clearance will be required in order to re-start your trial.

If you have any questions or require clarification, please do not hesitate to contact me at <telephone number>.

Yours truly,

<Supervisor’s Name>

<Title>

pc: Great West Life (only if this is an LTD trial. Send via e-mail to )

HR Services Centre (attach and forward document via AskMyHR)

<Name>, Early Intervention & Return to Work Specialist, Occupational Health & Rehabilitation, BC Public Service Agency

Benefits Officer, BCGEU

< Ensure cc’s are the same as those on original trial letter – ie. only cc the Union if this is a conclusion of a full time STIIP trial >