Back2Work (Summit's return-to-work program)

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Policies and Procedures

Sample Policy and Procedures

Sample Policy and Procedures (Word doc)

Sample Policy and Procedures (Spanish)

Documentation

Work Injury Tracking Record

Job Descriptions

Job Description/Physical Demands

Job Offer

Sample Letter for Notice of Transitional Duty

Sample Letter for Notice of Transitional Duty (Word doc)

Sample Letter for Notice of Transitional Duty (Spanish)

Sample Form for Notice of Transitional Duty

Sample Form for Notice of Transitional Duty (Word doc)

Sample Form for Notice of Transitional Duty (Spanish)

State-specific Forms

Florida - WC Uniform Medical Treatment - DWC-25

Florida - WC Uniform Medical Treatment with Instructions - DWC-25

Georgia - Job Analysis

Georgia - Notice of Suitable Employment - WC-240

Other Forms

Employee Return To Work Follow-Up

Employee Return To Work Follow-Up (Spanish)

Employer Certification Checklist

Employer Return To Work Follow-Up

Physicians Review of Transitional Duty

Request for Work Capacities

Request for Work Capacities - Upper Extremities