Return to Work  Referral

Thank you for visiting our website, this form is intended for Case Managers wishing to refer clients under the RTWSA Program. Once you submit the form, we will aim to contact the injured worker or nominated person within 24 hours to offer an appointment. When an appointment is secured, we will then email and notify you of this.

General Information

Claim Details

(If Applicable)

Return to work Details

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