View ESA-OWCP's Form 1215-0103 Online
Agency: |
ESA-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 |
OMB Expiration Date: |
Friday, September 30, 2011
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