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Records: 1114 EMPLOYER 62 WORKSAFE 102 MEDICAL 21 LEGAL 16 INTERNAL 656 FOI 42 PERSONAL 215 📁 MARK'S DOC 1113 📁 GEORGINA'S DOC 1 ⭐ 102 | 2026-07-04 12:56
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🔗 Linked Evidence
OFA_BLANK_MARCH_24 — p.3
📄 OFA BLANK MARCH 24 | p.3
📝 Extracted Text (OCR)
No

If answer is no, please provide prognosis for Gradual Return to Work/Return to Work, and start date.

Please provide more information regarding specific restrictions or limitations that may impact the
employee’s ability to carry out the bona fide requirements of their role as set out in the JDA (attached).

Are there any other factors related to the employee’s condition you feel we should be made aware of

which may impact their ability to carry out their work duties?