Modified Duty Offer Letter Templates

Letters & Case Docs

Modified Duty Offer Letter Templates

A focused set of the documents you need to offer and document modified duty: the modified-duty offer letter with acceptance and refusal variants, a physician modified-duty request letter, a carrier/TPA notice, a stand-alone refusal-documentation record with timestamp/method/representative fields, and a field guide explaining each required element for carrier-audit defensibility. Editable Word, PDF reference included.

zip201 KBVersion 1.0.0 · Updated July 2026Instant download · Secure checkout
$22one-time purchase

Instant digital download · all sales final. Refund policy

What's Included

  • Written modified-duty offer letter with acceptance and refusal documentation variants
  • Physician modified-duty request letter and carrier notice templates
  • Refusal documentation record with timestamp, method, and representative fields
  • Pre-filled field guide explaining each required element for carrier-audit defensibility
  • Compatible with Microsoft Word and Google Docs; PDF reference included
  • Instant download after purchase · Lifetime re-download from your account

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