Temporary Modified/Alternative Offer
Regular Work Offer
Permanent Modified/Alternative Offer
Job Description (Usual & Customary Position)
Onsite Job Analysis
Obtain Physician Return-to-Work Form - DWC AD 10133.36
Early Contact: Employer & Physican - Attach & Provide 5020 Injury Report
Fax or E-mail job description of the usual and customary occupation if available or indicate a request to draft one.
Fax or E-mail report confirming permanent or temporary work restrictions if available.
Fax or E-mail Physician Return-to-Work Form (DWC AD 10133.36) if available.
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