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November 5, 2008    DOL Home > Find It! By Form > DOL Form   

DOL Form OWCP-5c

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




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