Get Au Src 041 2021-2025

Filling out the AU SRC 041 form is essential for completing the closure of a rehabilitation program. This guide provides comprehensive, step-by-step instructions to assist you in navigating the online form, ensuring that all necessary information is accurately provided.

Follow the steps to successfully complete the AU SRC 041 form.

1. Click the ‘Get Form’ button to access the AU SRC 041 form and open it in your preferred editor.
2. Enter the employee details in the specified fields, including given name(s), surname, claim number, and rehabilitation program commencement date.
3. Provide detailed injury information. Specify the type of injury (choose between physical or psychological) and the injury date.
4. For the rehabilitation program closure section, indicate the work status at the time of closure and at commencement by selecting the appropriate options from the provided codes.
5. Document the work outcome at the closure of the rehabilitation program, including any changes to employer, duties, and hours worked. Complete the corresponding fields as indicated.
6. Set the actual closure date, name of the employer, and actual return to work date, ensuring all dates are accurate.
7. If applicable, fill in the workplace rehabilitation provider details and the name of the organization that completed the form.
8. State the total cost of the rehabilitation program, including any alterations as necessary.
9. Select the reason for the closure of the rehabilitation program from the provided options and specify if it falls under 'Other'.
10. Finally, review all provided information for accuracy. Save your changes, and choose to download, print, or share the completed form as needed.

Complete your AU SRC 041 online to ensure a smooth closure of the rehabilitation process.