Intent to Hire Preferred Worker with Developmental Disabilities

Document Information
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Title Intent to Hire Preferred Worker with Developmental Disabilities (A fillable form - 242 KB PDF)
Description Used by employers rehiring developmentally disabled workers after an industrial injury. This form requests preferred worker status and shows the physical demands of the work to be performed by the worker. The Preferred Worker Employer's Job Description (F280-022-000) should be attached.
Detail
Form number F280-011-000
Availability
Online only. See document above to download.
Keywords back to work, back-to-work, developmental disability, disabled, employer, industrial insurance, provider, return to work program, return-to-work, returning to work, vocational provider, worker's compensation, workers compensation, workers' compensation
Languages English
Valid dates 06-2006
Contact information Vocational Resources
Related information
Documents Intent to Hire Preferred Worker
Preferred Worker Program
Preferred Worker Employers Job Decsription

Request for Preferred Workers Status

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