Return To Work - Contact Log
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1RETURN TO WORK – CONTACT LOG
Employee’s Name:
Phone
Supervisor/Manager:
Phone
Return to Work Date:
Review
Date:
Target End Date:
Treating Physicians(s):
Phone
WorkSafe BC Claim
Number
Phone
Claims Adjudicator
Record of Contact
Date of Contact
Person Contacted
Contents of Conversation
submit
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Parent category: Miscellaneous