Get Wc-240 - Easyfillforms.com

The WC-240 form serves as a notification to an employee regarding an offer of suitable employment following an injury. This guide provides clear instructions on how to effectively complete this form online, ensuring that all necessary information is accurately filled out.

Follow the steps to complete the WC-240 form accurately.

1. Press the ‘Get Form’ button to retrieve the WC-240 document and open it for editing.
2. Begin by filling in the 'Board Claim No.' field with the relevant claim number associated with the employee’s case.
3. Input the employee's last name, first name, and middle initial in the designated fields to ensure accurate identification.
4. Enter the employee’s Social Security Number, date of injury, and county of injury in the respective sections.
5. Provide the employee's address, including city, state, and zip code, and then transition to the employer's details by filling out their address in the same manner.
6. In the 'B. NOTICE TO EMPLOYEE' section, list the job title and essential duties. If more space is needed, you can attach additional pages.
7. Specify the rate of pay, location of the job, and the hours and days the employee is expected to work.
8. Indicate the date and time the employee is required to report for work in the appropriate field.
9. Ensure that you attach a copy of the reports from authorized treating physicians approving the job as suitable for the employee’s condition.
10. Fill out the certification section, including your printed name, title, email, signature, address, city, state, and zip code.
11. Finally, review all entered information for accuracy. Once verified, you can save changes, download the completed form, print it, or share it as needed.

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