Submit a return to work issue

Notify WorkSafe about an issue impacting an effective return to work

This form can be completed by people who identify as one of the following:

• injured worker
• injured worker's representative
• injured worker's manager / supervisor
• return to work co-ordinator
• occupational rehabilitation provider
• injured worker’s treating health practitioner

The form can only be used when agreed / prescribed return to work resolution procedures are unavailable or have not resolved the issue(s).