Claims Management Templates & Resources
Brown Envelope Contents
W1: Worker’s Report of Injury
Fitness for Modified Work Form
(Template includes both a letter to the worker and the Doctor)
Modified Work Policy / Procedure
Additional Templates
Letter to the Worker
(communication plan for workers who cannot be accommodated)
Modified Work Plan
(includes a schedule of modified work as well as communications requirements)
Completed Samples (for reference)
Letter to the Worker
Modified Work Plan
Fitness for Modified Work Form
(completed by the employer, ready to put into the Brown envelope)
Fitness for Modified Work Form
(completed by the doctor)
Links & Resources
Disability Duration Guidelines (WCB Sask)
WCB Employer Appeals
WCB Premium Rates
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