What is a Modified Work Agreement?

A Modified Work Agreement (MWA) is a form used to identify the schedule and the modified job duties for an employee who has been injured (with medical approval).

What is the purpose of a Modified Work Agreement?

The purpose of a MWA is to adhere to an employee’s medical conditions. This being said, the injury may prevent the worker from completing particular jobs they have done in the past, thus resulting in a job modification.

 Why do I need a Modified Work Agreement?

A MWA is needed to keep employees safe at work and prevent further injury. This accommodation allows employees to continue working and support themselves and/or their families throughout their recovery.

 How do I complete a Modified Work Agreement?

To complete a MWA one should:

Include their full name as well as their supervisor’s

1. Identify their temporary modified job duties, along with a time period
2. Indicated how many hours they will be able to work within a week and what days
3. If the employee agrees the must sign and date the form, followed by an approval signature

 How do I use a Modified Work Agreement?

With medical approval, ask a supervisor if an MWA can be applied to your condition

• Once approved, fill out the agreement and have it signed and date by both you and a supervisor
• Keep the MWA available for any future referrals

Modified Work Agreement Companion
Modified Work Agreement Template

The following provides a listing of sample templates, documents, articles and other resources to help you in carrying out your duties and managing your worksite. It is expected that the documents will be amended to suit the styles, needs and circumstances of the individual, or company, involved. These resources are not intended to replace an individual’s, or a company’s, professional and skillful judgement. Each template, document and article and other resource should be assessed within the context of the individual’s, or company’s own day-to-day operation. Individuals and companies must exercise proper judgment respecting the correctness and applicability of the material. Hard Hat Hunter accepts no responsibility for any errors or omissions, and expressly disclaims any such responsibility.