Agency:

OWCP

Title:

OWCP-5a, Work Capacity Evaluation For Psychiatric/Psychological Conditions

Form Description:

OWCP-5a, Work Capacity Evaluation For Psychiatric/Psychological Conditions: Attending physicians use this form to report on a federal employee's work capacity limitations due to psychiatric/psychological conditions he/she has reported.

OMB Control Number:

1215-0103

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