In response to new TWCC regulations, the TWCC-6 form has changed. This new form will go into effect June 1, 2005. However, this new format is now available on the CAS website. Additional questions have been added concerning Return-to-Work/Modified Duty. As you are aware, employers were required to have a Return-to-Work program in place January 1, 2005.

The remaining questions are the same as the previous form, with some minor layout changes. As your plan administrator, we can assist you with a Return-to-Work program, in addition to the safety services you already receive.

If you have any questions regarding completing this form, pleas contact your customer service representative at (800) 765-2412.

If you need assistance with a Return-to-Work program, or safety services, please contact your adjuster or safety representative, respectively.

To view a sample of the new form, please click here.