[Date]

[NAME OF COMPLAINANT]
[Address]

Re: Return-to-Work Order

Dear [Mr. or Ms. ________]:

This letter serves as a formal notice/order for you to return to work immediately
upon receipt of this letter. Please report to [Name], [Position], at [Address].

Failure to return to work will be considered a waiver on your part to be

reinstated to your former position.

Thank you.

Regards,

[NAME]
By:

[Name]
[Position]