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Resource Catalog for self-insured policyholders of SFM

    Work ability and return-to-work form
States: Iowa, Minnesota, Nebraska, South Dakota, Wisconsin
Industry: All
Language: English
Resource type: Form

Completed by the treating physician. Documents an injured employee's physical restrictions and type of work he or she can perform. The injured employee should give you the completed form following each doctor visit.

 
 

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