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Return to Work Closure Form

BENEFITS

Once an injured or ill worker has completed his/her return to work (RTW) plan, you should close out the plan and evaluate its success, including what worked and didn’t work in the process.

HOW TO USE THE TOOL

Adapt this Model Return to Work Closure Report for your workplace and RTW program. The worker and his/her supervisor or manager should both complete the report independently once the final return to work goal is achieved. Keep the closure reports confidential to encourage candor.