What Is a Modified Duties Letter?
A modified duties letter (also called a work restrictions letter or accommodation letter) is a physician's recommendation that your employer provide temporary modifications to your job duties while you recover from illness or injury.
Unlike a sick note (which says you can't work at all) or a return to work letter (which says you're fully cleared), a modified duties letter says: you can work, but with specific limitations.
Common Modified Duties Recommendations
Modified duties can include: no heavy lifting (specifying weight limits), reduced hours or graduated return schedule, work from home arrangements, no prolonged standing or sitting, avoidance of specific tasks (driving, operating machinery), ergonomic accommodations, or schedule flexibility for medical appointments.
When You Might Need One
You might need a modified duties letter when: you're recovering from injury but can do some work, you have a chronic condition that flares up periodically, you're returning from surgery with temporary restrictions, you have a mental health condition requiring schedule flexibility, or you're pregnant and need physical accommodations.
Your Employer's Obligations
Under the Alberta Human Rights Act, employers have a duty to accommodate employees with medical restrictions to the point of undue hardship. This means they must make reasonable efforts to modify your duties or provide alternative work that fits within your restrictions.
If your employer refuses to accommodate documented medical restrictions, they may be violating human rights legislation. Document everything and consider filing a complaint with the Alberta Human Rights Commission.
Modified Duties vs. Return to Work Letter
A return to work letter says: 'This person is fit to return to their regular duties.' A modified duties letter says: 'This person can return to work, but needs these specific accommodations.' They serve different purposes and your situation determines which one you need.
Frequently Asked Questions
How long do modified duties last?
It depends on your condition. The letter will specify a duration (e.g., 2 weeks, 1 month) and may recommend reassessment before returning to full duties.
Can my employer refuse modified duties?
Employers must accommodate to the point of undue hardship. For most employers, temporary modifications are not undue hardship. If they refuse, consult the Alberta Human Rights Commission.
Do I need a modified duties letter or a sick note?
If you can't work at all, you need a sick note. If you can work with restrictions, you need a modified duties letter. If you're unsure, describe your situation in our intake form and the physician will determine the appropriate documentation.
Can I get a modified duties letter online?
Yes. Our CPSA-registered physicians can assess your situation and issue a modified duties letter with specific recommendations based on your condition and job requirements.
Letters are issued only when clinically appropriate after physician review. Modified duties recommendations are based on the physician's clinical assessment of your reported condition and job requirements.
Get Modified Duties Letter — $79