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Chapter 9. ReturntoWork Supplement Program The ReturntoWork Supplement Program (RT WSP), administered by the Department of Industrial Relations, was created in April 2015 for the purpose of making
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How to fill out return-to-work supplement - DIR:

01
Obtain the return-to-work supplement form from your employer or human resources department.
02
Fill in your personal information such as your name, address, phone number, and employee identification number.
03
Indicate the date you plan to return to work and any specific accommodations you may require.
04
Provide a brief explanation of your work-related injury or illness and the activities or tasks you are capable of performing.
05
If you have been receiving workers' compensation benefits, provide details of the benefits you have received, including the dates and amounts.
06
Sign and date the form, certifying that the information provided is true and accurate to the best of your knowledge.

Who needs return-to-work supplement - DIR:

01
Employees who have suffered a work-related injury or illness and are ready to return to work.
02
Individuals who have been receiving workers' compensation benefits and need to inform their employer about their intention to return to work.
03
Workers who require accommodations or modifications to their job duties or work environment due to their injury or illness.
Note: The specific requirements and procedures may vary depending on the jurisdiction and the specific employer's policies. It is always advisable to consult with your employer or legal counsel for accurate and up-to-date information.
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Return-to-work supplement - dir is a form used to report a worker's return to work after a period of absence due to a work-related injury or illness.
Employers are required to file return-to-work supplement - dir for their employees who are returning to work after a work-related injury or illness.
Return-to-work supplement - dir can be filled out by providing information about the employee, the injury or illness, and the return-to-work details on the form.
The purpose of return-to-work supplement - dir is to ensure that employees who have been injured at work are able to safely return to their job duties.
Information such as the employee's name, date of injury or illness, return-to-work date, and any work restrictions or accommodations must be reported on return-to-work supplement - dir.
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