The following example has been filled in with basic information to demonstrate how the template should be used. Keep in mind that each organization and situation is different. Based on the complexity of your organization, you may have many more employees and communication needs and changes will be different based on what you are specifically communicating. The key is to have a master employee template to get you in the habit of considering all possibilities.
As with most communication plans, really take the time to identify ALL of your employees, not just those returning from remotely working from home.