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View ESA-OWCP-DFEC's Form CA-17 Online 
| Agency: |
ESA-OWCP-DFEC |
| Title: |
DFEC CA-17, Duty Status Report |
| Form Description: |
DFEC CA-17, Duty Status Report: This form is provided for the purpose of obtaining a medical duty status report for the injured employee. |
| OMB Control Number: |
1215-0103 |
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