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Get City Toronto Return Work Information 2022-2024

Oyee Number Last Name Home Telephone Number Home Address (Street Number, Street Name, Suite/Unit Number, City/Town, Province, Postal Code) Injury/Onset of Illness Date (yyyy-mm-dd) Area of Injury (if applicable) Job at time of Injury/Illness Division Work Address (Street Number, Street Name, Suite/Unit Number, City/Town, Province, Postal Code) Supervisor Name (First, Last) Work Telephone Number Alternate Telephone Number Section B: To be completed by Health Professional and returned to.

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