Get Rtw Form.pdf - City Of Toronto

This guide provides clear and comprehensive instructions for filling out the Return to Work (RTW) Form for employees of the City of Toronto. Following these steps ensures that the form is completed accurately and effectively for a smooth return to work process.

Follow the steps to successfully fill out the RTW Form online.

1. Press the ‘Get Form’ button to obtain the RTW Form and open it in your preferred online editor.
2. Begin with Section A, where you will provide your worker information. Fill in your WSIB Claim Number, Employee Number, First Name, Last Name, Home Telephone Number, and Home Address, ensuring accuracy in all details.
3. Next, indicate the Date of Injury or Onset of Illness in the format yyyy-mm-dd. If applicable, specify the Area of Injury.
4. Complete the details regarding your Job at the time of Injury or Illness by filling in your Division and Work Address. Include your Supervisor’s Name and Work Telephone Number.
5. For Section B, this portion will be filled out by your health professional. They will indicate whether this is an Initial or Follow-Up Form and provide details about your Injury/Illness including Nature of Injury/Illness and Expected Recovery.
6. The health professional will assess your Ability to Work by checking the appropriate options based on your condition and expected recovery time.
7. If applicable, the health professional will check any functional limitations you may have and provide necessary precautionary measures for the specific activities listed.
8. Fill out Section C, which is the Worker Consent. Authorize your health professional to share relevant information regarding your limitations with your employer and the Workplace Safety and Insurance Board.
9. After completing the form, save your changes. Ensure to download or print a copy for your records. You can also share the form if required.

Complete your forms online to streamline your return to work process effectively.