RTW Forms and Templates for Employers

When an injury occurs it can be a difficult and confusing time for everybody involved. To help you prepare, you can print the necessary forms in advance and have them packaged along with instructions to make the RTW process easier.

To report an incident, injury or dangerous occurrence you must complete and submit an Employer's Report of Incident.



Note: The checklist may alter depending upon your organization’s procedures.

Note: This is a sample letter only

The following prompts may help you in thinking of alternative work that is of value to the organization. Remember, if the worker is unable to perform their usual job duties with or without modifications then first look for suitable work within the… more

The intent of this evaluation form is to help the organization improve future RTW plans and the RTW program.

Employers and workers, use this form to assist in tracking progress throughout the RTW plan.

Note: This is a sample letter only.

Effective RTW procedures should be specific to the unique needs of your organization. You must communicate them to all workers before an injury occurs, to ensure fast implementation to help the worker return to work as soon as safe and medically… more

Use this checklist to ensure that your RTW program has the minimum requirements.