DIOCESE OF CHESTER

END OF ABSENCE - RETURN TO WORK FORM

Please complete all details

Send to: The HR Department or email to both

Church House and

5500 Daresbury Park

Daresbury

Warrington

WA4 4GE

Surname: ______Christian Names: ______

NI Number: ______Unique ID Ref. No.: ______

Present Appointment and Parish: ______

______

Please be advised that following my recent period of illness, I returned to work with effect from: ______

______

Signed: ______

Date: ______

Note: This form should be completed when returning to work after a period of absence. The form is required so that notification can be given to the Church Commissioners to ensure your sickness record is complete. It is imperative that the information we hold is up to date to ensure the accuracy of records.

Chester Diocesan Board of Finance is a company limited by guarantee registered in England (no. 7826) and a registered charity (no. 248968)