The forms/templates, sample letters, and instructions found in this section have been developed for use in the return-to-work process.

Return-to-Work Resources

An important part of our jobs as department heads, managers and supervisors is to work with the employee to return him or her to a happier, more productive active working status. Take a deep breath and start with this premise for your County and you will create a positive, safe and healthy work environment which will not only benefit the employee but will also reduce your workers’ compensation costs.

• Return-to-Work (RTW) Guidelines – Reviewed by Legal Services (2012)

  • Insurer’s Stay at Work (SAW)/RTW Policy Statement

  • RTW Management Policy Statement

  • Return to Work Program

  • Supervisor’s Guide, Sample Forms, Letters & Instructions

  RTW Employee Injury Response Kit

  • Envelope Label

  • Employees Authorization Form for Release of Information

  • Medical Status Form

  • Sample Letter to Medical Provider

  RTW Supervisor Response Kit

  • Incident Investigation Form

  • Incident Management Checklist

  • First Report of Injury (not available as of now – click here for more information)

  • Chart – Steps to Complete if Injury Occurs