discription of work sheets form

Description of Transitional Work Assignment Worksheet Employee Employer Information Received From Proposed Work Days Date Temporary Limited Duty Assignment is Available Proposed Work Hours Proposed Duration of Temporary Limited Duty Assignment Title Claim No Date of Injury Today's Date Summary of Job Duties: PHYSICAL DEMANDS 1. SITTING (Percentage of time or hours per day? Surface? Foot Controls) Hours at a time...
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fillable discription of work sheets
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