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Form CA-17

  • Form CA-17 - Duty Status Report: This form is provided for purpose of obtaining a medical duty status report for IW.  It may be issued initially with Form CA-16.
  • Supervisor/Employing Agency completes agency portion by describing physical requirements of IW's job and noting availability of light or limited duty.
  • EA can send to physician at any time during life of claim (at reasonable intervals).