Get Ca Cal Fire-200 2007-2026

The CA CAL FIRE-200 form is essential for documenting medical treatment and facilitating the return-to-work process. This guide provides clear, step-by-step instructions on how to accurately complete the form online while ensuring that all necessary details are included.

Follow the steps to successfully complete the CA CAL FIRE-200 online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. Begin by entering the name of the injured or ill employee in the designated field. Ensure that this information is accurate, as it is crucial for identifying the case.
3. Fill in the classification or inmate/ward number, date of injury, and the name of the employer or institution. Provide the contact phone number and address to maintain effective communication.
4. Document the supervisor’s name and classification, along with their phone number, to facilitate coordination between involved parties.
5. For the injury status report, input the date of treatment and check the appropriate boxes to specify whether the injury is work-related, non-work-related, or if the status is unknown.
6. Indicate the treatment administered and the work status. Include any physical or mental limitations that could affect the employee’s return to work.
7. In the remarks section, detail any physical therapy, return to modified work recommendations, or assistive devices required for the employee.
8. Have the attending doctor or medical provider complete their section, including their signature, address, and contact information, certifying that the information is true and accurate.
9. Finally, the employee should add their comments, sign, and date the form to complete the submission process. Ensure all attached explanations or modifications are included.
10. Save your changes. After reviewing the completed form for accuracy, download, print, or share it as needed.

Complete your CA CAL FIRE-200 online today to ensure a smooth return-to-work process.