Forms

• Employer's Job Description (F252‑040‑000).
• Job Analysis, Temporary (Transitional) or Permanent Work (F252‑036‑000).
• Job Offer Letter (F252‑035‑000).
• VCLOS Checklist Routing Sheet (F252‑027‑000).
• Vocational Services Closing Cover Sheet State Fund (F252‑028‑000).
• Work History form (F252‑029‑000).

Publications

• Attending Doctor's Return-to-Work Desk Reference (F200‑002‑000).
• Employer's Return-to-Work Guide (F200‑003‑000).
• Getting Back to Work: It's Your Job and Your Future (F200‑001‑000).

Find a complete list of vocational forms and publications.

Helpful links

Full List of Outcome Codes.

Job Analysis.

Labor Market Surveys.

WAC's

WAC 296-19A-050 (www.leg.wa.gov)
What are Early Intervention services?

WAC 296-19A-060 (www.leg.wa.gov)
What reports does the department require when requesting Early Intervention services?
1 (a) (b) (c) (d) progress reports
(2) (3) and (4) closing reports.

About Early Intervention

Early Intervention (EI) can help an injured worker return to work.

A job analysis for the job of injury is required to determine if the worker can perform a light-duty job.

A vocational recommendation should indicate whether the employer offered a job.

Definitions of different types of work

Graduated return-to-work - Increasing the number of hours until the worker is back up to the work pattern at the time of injury.

Transitional return-to-work - A temporary job where the worker is expected to be able to go back to the job of injury during early intervention.

Light-duty work - A job with less physical demands than the time of injury job.

Temporary work - A job that isn't ongoing.

Extension of the early intervention fee cap

A provider may request an extension of an Early Intervention (EI) fee cap when one of the following circumstances exists:

• Graduated return-to-work (GRTW).
• Work hardening (WH).

To request a fee cap extension, a vocational provider needs:

• A job offer from the employer of record.
• Medical approval for the program.
• Program start and end dates.

The program is limited to 20 hours of professional costs and is only allowed one time per claim. The extension cannot exceed:

• 12 weeks duration for GRTW.
• 4 to 6 weeks for WH.

To bill the extension, vocational provider needs prior authorization by the claim manager. The extension doesn't create a new referral. Regular early intervention codes end when the extension is approved. The codes for the extension are:

• 0802V - Vocational rehabilitation counselors.
• 0803V - Interns.

Under RCW 51.32.090 (www.leg.wa.gov), employers may use a job description to offer light duty work when a vocational referral hasn't been made.