Early Return to Work Forms

The forms referenced below are to be used by Texas A&M departments as part of the Early Return to Work Program (RTW).

  • Bona Fide Offer of Employment (BOE)
    The Bona Fide Offer of Employment form (BOE) is based on a Temporary Work Assignment (TWA) which has been identified by the supervisor/department representative for the employee who is returning to work from an injury or illness. The BOE must describe work that can be performed under the restrictions indicated by the employee's treating physician. The form must be signed by the employee before the employee returns to work.
  • Notice of Inability to Identify a TWA
    This form is given to the employee if the supervisor/department representative is unable to identify work with tasks in line with the restrictions described by the employee's treating physician.
  • Work Status Report Form (for non-work-related injuries)
    The employee will provide this form to the treating physician for those injuries that are not work related.

Resource

Workers' Compensation Insurance Guide