These are general ACC forms used for claims and recovery services. You may make slight customizations to reflect their specific use for ICP clients, but the structure and key information should largely remain the same

ICP - Worksite Assessment (ICP-WSA).docx

ICP - Return to Work (ICP-RTW).docx

ICP - Medical Certificate (ICP-ACC18).pdf

ICP - Back To Work (ICP-BTW).docx

ICP - Additional Diagnosis Request (ICP-ACC32REQ).pdf

Updated:20-Feb-25

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