Get Au Src 064 2016-2025

The AU SRC 064 is an essential form for documenting work trial agreements as part of rehabilitation programs. This guide will provide you with clear instructions to help you complete the form accurately and efficiently.

Follow the steps to fill out the AU SRC 064 online.

1. Click 'Get Form' button to acquire the AU SRC 064 and open it in your preferred editing tool.
2. Begin by entering the employee details section. Include the surname and given name(s) of the employee, along with their contact phone number and email address. Ensure this information is accurate to facilitate communication.
3. Next, fill out the rehabilitation authority details. Provide the name of the organization, location, contact information for the rehabilitation case manager, and the organization name for the host employer.
4. Complete the work trial goals section by describing the employee's final rehabilitation goals, focusing on return to work objectives and specific duties.
5. In the work trial timeframes section, enter the date of commencement, date of first review, and the anticipated completion date of the work trial.
6. Proceed to the work trial/return to work schedule. Clearly outline the position title, days of work, work breaks, and hours of work. Specify any medical restrictions and provide additional considerations relevant to the employee's situation.
7. Detail the work schedule, including specific dates, duties, considerations for workload, and hours worked. Be precise to ensure all parties understand the commitments.
8. Finally, ensure that all required signatures are obtained from the employee, host employer, rehabilitation case manager, workplace rehabilitation provider, and medical practitioner, along with the respective dates.
9. Once the form is fully completed, save your changes, and consider downloading, printing, or sharing the document as needed.

Complete the AU SRC 064 form online today to support effective rehabilitation processes.