Vocational rehabilitation forms and guidelines

The vocational rehabilitation forms and templates are available for use by both contracted and non-contracted vocational rehabilitation service providers. However, if non-contracted vocational rehabilitation service providers wish to use the forms and templates available they must remove the WorkCover logo from the document.

Forms and templates

• Appendix A: Rehabilitation service delivery self-evaluation checklist [494KB]
• Appendix A-D Vocational rehabilitation forms and guidelines [151KB]
• Appendix B: Rehabilitation systems and procedures self-evaluation checklist [494KB]
• Appendix C: Rehabilitation service delivery self-evaluation summary report [494KB]
• Appendix D: Internal evaluation improvement report [493KB]  
• Authority to exchange information [92KB]  
• Initial assessment report: Different employer / transition / Intensive Job Seeking Program (IJSP) [75KB]  
• Initial assessment report: Restoration to the community [97KB]
• Initial assessment report: Return to work pre-injury (psychiatric disability) [106KB]
• Initial assessment report: Return to work pre-injury employer [107KB]
• Monthly vocational rehabilitation provider status report [131KB] 
• Part B: Work training evaluation report - for host organisations [95KB]
• Part C: Work training feedback report - for workers [70KB]
• Part D: IJSP - Midway Report (10 week report) [67.00 KB]
• Part E: IJSP - Final Report (20 week report) [69.00 KB]
• Part F: IJSP - Notification of Employment Outcome) [60.00 KB]
• Part G: IJSP Payment Calculation Form [40KB]
• Qualification assessment application [59KB]
• Rehabilitation and return to work plan [214KB]  
• Rehabilitation closure report [81KB]
• Rehabilitation program [200KB]  
• Rehabilitation progress report [63KB] 
• Retraining checklist [147KB] 
• Vocational rehabilitation letter to provider [21KB]
• Vocational rehabilitation registration forms for consultants and providers [132KB]   
• Work training arrangement (form only) [96KB]
• Work training arrangement [71KB] 

Guidelines

• Competency guidelines for vocational rehabilitation service providers [289KB]
• Guide to assessing qualifications for rehabilitation consultants (June 2007) [165KB]  
• Information, approval and payment guidelines for retraining [123KB]
• Information, approval and payment guidelines for work training at a host organisation and in job seeking programs  [345KB]
• Information guidelines for rehabilitation providers and case managers [142KB]
• Interim service standards for vocational rehabilitation providers - May 2006 [46KB]

Supervision and competency program

• Supervision and training program for vocational rehabilitation providers [34KB]
• Supervision and competency program for vocational rehabilitation providers (information session presentation) [181KB]

Vocational package

• Annexure A: Vocational rehabilitation service and fee specifications package (July 2009) [432KB]