1. THE INTERACTIVE PROCESS PROTOCOL AND FILE MANAGEMENT (JOB OFFER FORMS) 1

2. INTERATIVE PROCESS MEETING (IPM Document) 2

3. 3

4. AUTHORIZATION FOR REQUEST OR USE/DISCLOSURE OF PROTECTED HEALTH INFORMATION (PHI) 4

5. 5

6. 6 NOTICE OF OFFER OF REGULAR WORK FORM DWC – AD 10118

7. 7

8. 8 NOTICE OF OFFER OF MODIFIED OR ALTERNATIVE WORK For injuries occurring on or after 1/1/04 DWC – AD 10133.53

9. 9

10. WORK HARDENING TRANSITIONAL ASSIGNMENT AGREEMENT FORM (WHTAA) 10

11. 11 WORK HARDENING TRANSITIONAL ASSIGNMENT AGREEMENT FORM (WHTAA)

12. CONDITIONAL ASSIGNMENT AGREEMENT FORM (CAA) 12

13. 13 CONDITIONAL ASSIGNMENT AGREEMENT FORM (CAA)

14. EMPLOYEE PROFILE FORM FOR I/A AND NON I/A INJURY/ILLNESS 14

15. 15 ACTIVITY LOG SHEET WITH PLAN OF ACTION

16. QUESTIONS??? 16