7-01/000.00 - Samples

1. Consideration for Defendants (Letter)

2. Employee Injury/Illness (Letter)

a. to Employee

b. to Physician

3. Physician's Evaluation for Return for Modified Duty (Format)

a. by Form

b. by Chart

4. Report of Request and Decision for HIV Testing (Form)

Sample 1

Sample 2A

Sample 2B

Sample 3A

Sample 3B - Part 1

Sample 3B - Part II

Sample 3B - Part III

Sample 3B - Part IV

Sample 3B - Part V

Sample 4 - Part I

Sample 4 - Part II