Release return work 2026

1. Click ‘Get Form’ to open the release return work document in the editor.
2. Begin by entering the worker’s name and next scheduled appointment date at the top of the form.
3. If known, input the claim number. Then, indicate whether the worker is expected to materially improve from medical treatment or time by selecting 'Yes' or 'No'.
4. In the WORK STATUS section, select one of the three options: Released to Regular Work, Not Released to Work, or Released to Modified Work. Fill in the status date accordingly.
5. If applicable, for Released to Modified Work, specify any work restrictions including total work hours and lifting/carrying/pushing/pulling limits.
6. Complete any activity restrictions such as standing, walking, sitting, etc., by indicating hours per day and any one-time limits.
7. Finally, ensure that a medical provider signs and dates the form before submission.

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