Forms Catalog Document - LS205 :-: ESA :-: Physician's Report on Impairment of Vision

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Physician's Report on Impairment of Vision

This form is a medical report pertaining to the impairment of vision

Form #: LS 205
Agency: Department of Labor
Bureau: Employment Standards Administration
Common Name: LS-205

	TYPE	PAGES	SIZE (KB)	CAPABILITY	WHAT'S NEEDED
	Form Only	2		[3] Fillable + Printable	Adobe Reader Download

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