Employee notice of intent to return to work following military service under USERRA. Documents service completion date, reemployment request, and any service-connected medical needs.
The Notice of Return from Military Leave is a ready-to-use employment & hr template you can send for signature in minutes. It is written for 1 signer (employee) and, by default, expires 30 days after it is sent if left unsigned. It covers military leave, userra, return to work, reemployment, armed forces, hr. Like every Abundera Sign template it is a convenience draft structured for ESIGN Act and UETA compliance, not a substitute for legal advice. Each signed copy is sealed with PAdES-LTA digital signatures, dual RFC 3161 timestamps, and a tamper-evident evidence package in WORM storage.
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# Notice of Return from Military Leave This notice is provided by an employee upon returning from a period of military service. It serves as the formal application for reemployment required under USERRA and documents the employee's intent to return to their former position (or the escalator position to which they are entitled). --- ## Part A — Employee Information **Full Legal Name:** ___________ **Employee ID / Personnel Number:** ___________ **Department (at time of departure):** ___________ **Job Title (at time of departure):** ___________ **Manager / Supervisor at Time of Departure:** ___________ **Work Email:** ___________ **Personal Phone:** ___________ --- ## Part B — Military Service Summary **Branch of the Uniformed Services:** ___________ **Date Military Service Began:** ___________ **Date Military Service Ended / Separation Date:** ___________ **Total Duration of Service for This Period:** ___________ **Character of Discharge / Separation (if applicable):**