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This form is to be used on return to work following any period of incapacity. If this period extends beyond 7 days (including weekends, etc.) you must also provide a medical statement from your Doctor.
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What is this form is to?
This form is for reporting purposes.
Who is required to file this form is to?
All individuals and businesses are required to file this form.
How to fill out this form is to?
You can fill out this form online or by mail.
What is the purpose of this form is to?
The purpose of this form is to gather important information.
What information must be reported on this form is to?
Information such as income, expenses, and deductions must be reported on this form.
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