Follow these steps for completing the assessment: 1. Use these definitions to fill out the top of the form.Download our free Return to Work Letter template and explore samples for a smooth transition back to the workplace. I am ready to return to work on Monday, ______. Is there any paperwork or are there advance arrangements that I need to make? This handout includes sample documentation healthcare professionals can customize for patients who are seeking workplace accommodations. Division of Workers Compensation main forms page.