Return to Work

WorkSafeBC Form 9: Employers Statement of Return to Work
This official WorkSafeBC form is for physicians to use when workers come to them with an injury or occupational disease.

Form J: Graduated Return to Work Plan
This form is for documenting an RTW plan to get an injured employee back to regular duties.

Form G: No Time Loss and No Medical Aid Checklist – Non-Reportable Incidents (Accommodation)
This checklist describes steps to follow for incidents that don’t require care from a health-care provider or time away from work.

Form A (alt): Employee Injury Management/Return to Work Checklist
This alternative Form A describes an injured employee’s responsibilities under the company’s RTW program.

Form A: Early and Safe Return to Work Letter to Employee
This is a letter for the employer to send to an injured employee. It explains that there is an injury management/RTW program and modified work is available. It also describes which forms the employee should bring to their physician.

Form K: Employee Orientation Checklist for Return-to-Work Programs
This checklist describes what a supervisor needs to tell employees about the RTW program.

Form I: Return to Work Plan
This form is for documenting an RTW plan to get an injured employee back to regular duties.

Form H: Manager/Supervisor Communication Log
This form is for documenting communications with injured employees regarding return to work planning.

Form G: Time Loss and Medical Aid Checklist (Reportable Incidents)
This checklist describes steps to follow for incidents that require care from a health-care provider or time away from work.

Form F: No Time Loss and No Medical Aid Checklist (Non-Reportable Incidents)
This checklist describes steps to follow for incidents that don’t require care from a health-care provider or time away from work.