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Get Dol Owcp-5c
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How to fill out the DoL OWCP-5c online
Filling out the DoL OWCP-5c form online can be a straightforward process if you understand each section's requirements. This guide is designed to assist you in completing the form with clarity and confidence.
Follow the steps to successfully complete the form
- Click the ‘Get Form’ button to access the electronic version of the OWCP-5c form.
- Begin by entering the injured worker's name in the designated fields, ensuring you include their first, middle, and last names.
- Provide the OWCP number as requested in the corresponding field in the top section of the form.
- Answer the questions regarding the worker's capability to perform their usual job. For each question, select 'Yes' or 'No' according to your assessment, and provide a narrative report if needed.
- Indicate whether the claimant can work for a full 8 hours with any physical restrictions, selecting the appropriate option and providing additional details if applicable.
- Complete any sections regarding anticipated increases in work hours, limitations in activities, and the expected duration of restrictions.
- Fill in the strength levels applicable to the individual, selecting each level (sedentary, light, medium, heavy, very heavy) as needed.
- Review any additional medical facts or situational factors that may influence the claimant's ability to work, providing a narrative report where necessary.
- Enter the physician's name, telephone number, and signature ensuring all details are clear and correctly formatted.
- Finally, once the form is completed, save your changes, and proceed to download, print, or share the completed form as required.
Take the next step and complete your DoL OWCP-5c form online today.
The CA-2 Workers' Compensation Form for injured federal employees is called the Notice of Occupational Disease and Claim for Compensation for Federal Workers' Compensation.
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