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May 8, 2009

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DOL Form CA-20

Agency:	ESA-OWCP-DFEC
Title:	DFEC CA-20, Attending Physician's Report
Form Description:	DFEC CA-20, Attending Physician's Report: This medical report is required before payment of compensation for loss of wages or permanent disability can be made to the injured employee. This information is required to obtain or retain a benefit.
OMB Control Number:	1215-0103