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Waiver - WFH

The document is a waiver and release of liability for an employee returning to work earlier than advised by their doctor. It states that the employee is currently on medical leave but wishes to return to work or work from home earlier than the recommended date. It releases the law firm from any liability or claims that may arise from the early return, with the employee assuming full responsibility. The employee confirms they understand and agree to the terms of the waiver.

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Coco Loco
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© © All Rights Reserved
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Download as DOCX, PDF, TXT or read online on Scribd
737 views

Waiver - WFH

The document is a waiver and release of liability for an employee returning to work earlier than advised by their doctor. It states that the employee is currently on medical leave but wishes to return to work or work from home earlier than the recommended date. It releases the law firm from any liability or claims that may arise from the early return, with the employee assuming full responsibility. The employee confirms they understand and agree to the terms of the waiver.

Uploaded by

Coco Loco
Copyright
© © All Rights Reserved
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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WAIVER AND RELEASE OF LIABILITY

In consideration of being under the employ and/or performing services for, and being
allowed to participate in any of the activities of _________________ (the “Law Firm”), the
undersigned states and agrees to the following:

1. I am currently on leave for ______ days from ___________ to _________________


due to ______________________. I am expected to report back to work on
_________________________, in accordance with my doctor’s advise to rest for
______ days.
2. However, I wish to report back to work or work from home (WFH) on an earlier date,
or on __________________.
3. Returning to work on an earlier date/ working from home is entirely of my own
volition and free will.
4. I hereby assume all risks and dangers and all responsibility for any losses and/or
damages that may arise from my early return to work/ WFH.
5. I hereby release, defend, indemnify and hold harmless the law firm from and against
any claims, damages or liability arising from or related to my early return to work.
6. I am of legal age and competent to contract in my own name. I have read this
document before signing below, and I fully understand the contents, meaning and
impact of this waiver and release of liability. This consent, waiver, indemnity and
release is binding on me, my heirs, and executors.
7. I certify that I agree to and understand the terms of this waiver and release of liability
and that I voluntarily and willingly executed this waiver and release of liability with
full knowledge of my rights under the law.

__________________________________ ________________________
Signature over printed name Date

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