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DOL Form OWCP-5a

View OWCP's Form OWCP-5a Online 

Agency:	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:	1240-0046

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