Instructions for the Associate’s Manager

1. Review the Transitional Duty Policy on CarMax Way.
2. Enter the associate’s information above and complete Items 1 through 6 below.
3. Meet with the associate in person to discuss the proposed transitional duty assignment.
4. If the associate agrees to the transitional duty work assignment and is acknowledged below, then submit this form.
5. If the associate does not agree to the transitional duty work assignment, the manager should contact Worker's Compensation