| Document Information | ||
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| Title |
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| Description | Used by employer of record to prepare a written job description for a light-duty job, transitional, modified duty job, or alternative job when an injured worker is unable to work due to an industrial injury or occupational disease. The form includes a description of the job tasks, machinery, tools, equipment and personal protective equipment used, and the physical demands of the job. After completing the employer's job description form, the employer gives it to the injured worker's doctor for review and approval. |
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| Detail | ||
| Form number | F252-040-000 | |
| Availability | Online only. See document above to download. |
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| Keywords | claims, early, employability, industrial insurance, job of injury, job offers, light duty, Permanent modified job, returning to work, Stay at Work, voc rehab, vocational rehab, vocational rehabilitation, worker's compensation, workers compensation, workers' compensation | |
| Languages | English | |
| Valid dates | 12-2012 | |
| Contact information |
Managing Injured Workers' Claims
Vocational Resources Treating Injured Workers |
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| Related information | ||
| Documents | Employer's Return-to-Work Guide |
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| Web pages | Light Duty Job | |
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