Submit a return to work issue

Notify WorkSafe Victoria about an issue impacting an effective return to work.

Submit a return to work issue

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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).

How to submit a return to work issue