DOL Form OWCP-5c

View OWCP's Form OWCP-5c Online htm

Agency:

OWCP

Title:

OWCP-5c, Work Capacity Evaluation for Musculoskeletal Conditions

Form Description:

OWCP-5c, Work Capacity Evaluation for Musculoskeletal Conditions: Attending physicians use this form to report on a federal employee's work capacity limitations due to musculoskeletal conditions he/she has reported.

OMB Control Number:

1215-0103