Get Work Assignment Form.doc

Completing the Work Assignment Form online can be a straightforward process when you know the steps. This guide will walk you through each section of the form, ensuring you understand what information is required and how to fill it out accurately.

Follow the steps to complete your Work Assignment Form effortlessly.

1. Click ‘Get Form’ button to obtain the form and open it in your online document editor.
2. Begin by entering the employee's name in the designated field labeled 'Name of employee.' Make sure the spelling is correct.
3. In the 'Date of Injury' section, fill in the date when the injury occurred. This is crucial for tracking the transitional work assignment timeline.
4. Input the job title of the employee in the 'Job Title' field, reflecting their role within the company.
5. Complete the 'Department' field by specifying the department in which the employee works.
6. Enter the supervisor's name in the 'Supervisor' field. This ensures clear communication and accountability.
7. Review the section about temporary restrictions. Ensure that the information provided by the physician, including their name and the date, is accurate. This is essential for determining appropriate work activities.
8. Indicate the expected date and time for the employee's return in the 'You are expected to return to work on' section.
9. Specify the daily and weekly work schedule in the section labeled 'You are scheduled to work,' including the number of hours and days per week.
10. Outline the initial work assignments that the employee will be performing while undergoing transitional work.
11. Finalize the section regarding the length of the Transitional Work Program by entering the valid end date for the assigned work activities.
12. Both the employee and the TWP coordinator must sign and date the consent portion at the bottom of the form, confirming agreement to the terms.
13. After all sections are filled out, save your changes. You may also choose to download, print, or share the form as needed.

Complete your Work Assignment Form online today to ensure a smooth transition back to work.