DOWNLOADABLE FORMS AND WORKPLACE POSTERS
Below is a complete list of the downloadable forms and workplace posters available from Montana State Fund. If you have any difficulty downloading or opening these forms, please CONTACT US with your questions.
Setting it Up and Communicating Your Program
- Why RTW Programs Work PDF [261 KB]
- Statement of Responsibilities PDF [41 KB]
- Suggested Language for Policy Manuals DOC [38 KB]
- Suggested Language for Notification DOC [41 KB]
- One-Sheet on Benefits to Employees PDF [83 KB]
- Sample Letter 1 for Communicating with Physicians DOC [32 KB]
- Sample Letter 2 for Communicating with Physicians DOC [48 KB]
- Memo to Medical Provider PDF [14 KB]
- Memo to Medical Provider DOC [48 KB]
- Workplace Poster 1 - Letter Size PDF [806 KB]
- Workplace Poster 1 - Tabloid Size PDF [1.36 MB]
- Workplace Poster 2 - Letter Size PDF [378 KB]
- Workplace Poster 2 - Tabloid Size PDF [678 KB]
Managing an Incident
- Grab N Go Kit PDF [500 KB]
- Active Management Checklist PDF [40 KB]
- First Report of Injury Form PDF [80 KB]
- Sample Work Capacity Form PDF [80 KB]
- Sample Letter 1 for Communicating with Physicians DOC [32 KB]
- Sample Letter 2 for Communicating with Physicians DOC [48 KB]
- Memo to Medical Provider PDF [14 KB]
- Memo to Medical Provider DOC [48 KB]
- Sample Incident Investigation Form PDF [14 KB]
- Sample Job Description Form DOC [28 KB]
- Sample Transitional Job Description DOC [41 KB]
- Sample Transitional Job Ideas All Categories PDF [155 KB]
Sample Transitional Job Ideas by Category
- Agriculture PDF [36 KB]
- Auto Dealers/Mechanical Shops PDF [37 KB]
- Clerical/Administrative PDF [37 KB]
- Community Service PDF [40 KB]
- Construction PDF [37 KB]
- Distributor PDF [38 KB]
- Drivers PDF [36 KB]
- Grocery PDF [37 KB]
- Human Services/Patient Care PDF [37 KB]
- Logging PDF [188K]
- Manufacturing PDF [38 KB]
- Sawmill/Lumber/Post and Pole PDF [38 KB]
- Sample Return to Work Transitional Duty Lettter DOC [48 KB]
- Sample Letter for Formal Temporary Transitional Job Offer DOC [48 KB]