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owcp-5c Work Capacity Evaluation Form, Musculoskeletal Condition
Federal Employees' Compensation Act Medical Reports and Compensation Claims
OWCP-5c
FECA Medical Report Forms, Claim for Compensation
OMB: 1240-0046
OMB.report
DOL/OWCP
OMB 1240-0046
ICR 202407-1240-001
IC 13770
owcp-5c Work Capacity Evaluation Form, Musculoskeletal Condition
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