Sedgwick walmart 2026

1. Click ‘Get Form’ to open the sedgwick walmart document in the editor.
2. In SECTION A, provide your personal information including your name, WIN, facility number, and expected return date. Ensure all fields are filled accurately.
3. If you have a health care provider's release, proceed to SECTION B. This section must be completed by your health care provider. They will certify your ability to return to work and note any restrictions if applicable.
4. For any restrictions noted by your health care provider in SECTION B, ensure they describe the duration and activity levels clearly. If additional space is needed, attach signed pages.
5. Finally, in SECTION C, have your manager or HR representative review the form and check the appropriate return-to-work status box before submitting it via fax or email as instructed.

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