HomeMy Public PortalAboutADM-104_Temp Alternative Duty Policy_Effective 06-01-2018
City of Lebanon
New Hampshire
ADMINISTRATIVE POLICIES & PROCEDURES
Temporary Alternative Duty Policy
Policy Number Effective Date Last Revision Page No.
ADM-104 6/1/18 Page 1 of 3
Approved by:
Section 1.0: Purpose
It is the policy of the City of Lebanon (hereinafter, “City”) to comply with those
requirements set forth in RSA 281-A:23-b and NH LAB 504.04 as well as any other
governing rules and/or regulations.
Further, it is the objective of the City to provide meaningful, temporary and
transitional work to employees who have suffered a work-related illness or injury so
that a transition back to full duty may take place.
Section 2.0: Scope
Temporary Alternative Duty (hereinafter, “TAD”) is available to an employee for as
long as his/her illness or injury requires (as documented by the treating physician)
and as such duties are available. In no instance shall a TAD assignment exceed 18
months in duration from the date of injury.
Temporary alternative duty is not intended, nor will it be provided, in those
situations in which an employee has been deemed permanently disabled and unable
to resume his/her previous position.
Section 3.0: Procedure
1. The ill/injured employee shall timely provide the initial NH Workers’
Compensation Medical Form to the Benefits Coordinator.
2. The Benefits Coordinator shall review the initial NH Workers’ Compensation
Medical Form with the appropriate Department Head and/or his/her designee.
Where appropriate, the Benefits Coordinator shall then provide the ill/injured
employee’s treating physician with a completed NH Workers’ Compensation Task
Analysis form, the employee’s current job description and a proposed TAD
assignment summary for his/her review and approval.
3. Upon receipt of the treating physician’s documented approval of the TAD
assignment, the Benefits Coordinator shall send to the ill/injured employee a
certified letter summarizing the following:
a. the approved TAD assignment;
b. the return-to-work date, time and location; and,
City Manager
City of Lebanon
New Hampshire
ADMINISTRATIVE POLICIES & PROCEDURES
Temporary Alternative Duty Policy
Policy Number Effective Date Last Revision Page No.
ADM-104 6/1/18 Page 2 of 3
Approved by:
c. that a failure to report for the TAD assignment on the specified date and
time may result in a reduction or termination of workers’ compensation
benefits.
EMPLOYEE OBLIGATIONS - OTHER
An ill/injured employee shall timely provide to the Benefits Coordinator a NH
Worker’s Compensation Medical form, as completed by his/her treating physician,
after each visit.
REVIEW OF TAD ASSIGNMENTS
The Benefits Coordinator shall be responsible for the ongoing review of any TAD
assignment.
RETURN TO REGULAR DUTIES
Upon full release by the treating physician and subject to the statutory 18-month
maximum reinstatement provision, the employee will resume the normal duties of
his or her regular position.
POSITION DESCRIPTIONS AND TASK ANALYSES
Current job descriptions and NH Workers’ Compensation Task Analysis forms for
each position within the City may be obtained from the Benefits Coordinator.
NOTIFICATION(S) TO EMPLOYEES
This policy and attachments shall be posted by the Benefits Coordinator in each
work location for review by all employees.
INTERACTION WITH OTHER LAWS/REQUIREMENTS
To the extent that this policy is ambiguous or contradicts NH state law or NH
Department of Labor (“DOL”) regulation, the language of the NH state law or NH
DOL regulation will control.
Section 4.0: References (Charter/Code/State Statues)
NH RSA 281-A:23-b
NH Department of Labor Rules: Lab 504.04 Development of Temporary Alternative
Work
City of Lebanon
New Hampshire
ADMINISTRATIVE POLICIES & PROCEDURES
Temporary Alternative Duty Policy
Policy Number Effective Date Last Revision Page No.
ADM-104 6/1/18 Page 3 of 3
Approved by:
Section 5.0: Policy & Procedure Revision History
Section Revisions Date
Original Adoption 6/1/18
Amendment
Amendment
Amendment