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Get DoL OWCP-5c 2011-2024

G his/her usual job? No If no, please explain. Many employers can readily accommodate medical restrictions including assignment of the injured worker into an alternative work location. b. If the claimant is unable to perform his her usual job, is the claimant able to work for 8 hours per workday with restrictions? If no, please provide medical reasons to support your opinion. Yes No c. d. e. If less that 8 hour per workday, how many can he/she work? Do you anticipate an increase in the num.

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