Get Rtw Worklink Status Form.pdf

Filling out the RTW Worklink Status Form online can be a straightforward process when you have the right guidance. This guide provides step-by-step instructions to ensure that you complete the form accurately and efficiently.

Follow the steps to fill out the form correctly.

1. Click ‘Get Form’ button to obtain the form and open it in the online editor.
2. Begin completing Section A - General Information by providing details such as the injured worker's name, claim number, employer name, date of injury, occupation/title, and date of birth.
3. Move to Section B - Return to Work Status. Choose one option that accurately describes the employee's work status, and fill in the relevant dates.
4. Proceed to Section C - Employee is released to temporary transitional duty. Indicate the activity restrictions by checking the relevant boxes and specifying hours for posture, motion, and other restrictions.
5. In Section D - Employee Treatment/Follow-Up Information, include the diagnosis code, diagnosis description, and information about any further treatment needed. Note if the injury is work-related and provide details about the treatment.
6. Complete the physician's section with their name and signature, and specify any diagnostic studies or referrals needed.
7. Ensure all relevant information is filled out. After completing the form, users can save changes, download, print, or share the form as required.

Take the next step and complete your RTW Worklink Status Form online today.