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Office of the Assistant Secretary for Policy

DOL Form OWCP-5c

View OWCP's Form OWCP-5c Online htm
Agency: 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: 1240-0046