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| DOL Home > Find It! By Form > DOL Form |
DOL Form OWCP-5c
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 |