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# result(s)

Workplace Safety and Insurance Act, 1997
Loi de 1997 sur la sécurité professionnelle et l’assurance contre les accidents du travail

ONTARIO REGULATION 456/97

formerly under Workers’ Compensation Act

Amended to O. Reg. 28/07

FUNCTIONAL ABILITIES FORM

Historical version for the period February 9, 2007 to February 28, 2007.

Disclaimer: The HTML version of this consolidation is not an official copy of the law because some portion of it may not be fully legible. The Word version remains an official copy of the law.

This Regulation is made in English only.

1. (1) The Form is prescribed for the purposes of subsection 37 (3) of the Act. O. Reg. 456/97, s. 1 (1).

(2) The information required to complete the Form is prescribed for the purposes of subsection 37 (3) of the Act. O. Reg. 456/97, s. 1 (2).

Note: On March 1, 2007, section 1 is revoked and the following substituted:

1. For the purposes of subsection 37 (3) of the Act,

(a) the form that is prescribed is the form titled “Functional Abilities Form for Planning Early and Safe Return to Work” that is dated July, 2006, and that is available on the Internet through http://www.wsib.on.ca/wsib/wsibsite.nsf/public/FormsOverview; and

(b) the information to be given by a health professional is the information required to complete the form referred to in clause (a). O. Reg. 28/07, s. 1.

See: O. Reg. 28/07, ss. 1, 3.

2. Omitted (provides for coming into force of provisions of this Regulation). O. Reg. 456/97, s. 2.

FORM
FUNCTIONAL ABILITIES FORM FOR TIMELY RETURN TO WORK

Workplace Safety and Insurance Act, 1997

O. Reg. 456/97, Form.

Note: On March 1, 2007, the Form is revoked. See: O. Reg. 28/07, ss. 2, 3.