Document
Doctor’s Certificate
ICR 202001-1235-009 · OMB 1235-0016 · Object 98548701.
This document may belong to an older filing. More recent activity for OMB 1235-0016:
Document Viewer [docx]
Status: The document is viewable, but some background extraction is still pending.
Queue: Repair is queued and waiting for the next worker pass. (priority 140 · next 2026-08-02 17:50:55)
Missing: html
Download: Source copy (docx)
Loading document viewer…
Document Metadata
| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
|---|---|
| File Title | Doctor’s Certificate |
| Author | U.S. Department of Labor |
| File Created | 2021-01-16 |
| Conversion State | partial |