Loading
Get Owcp-5a 2014-2026
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the OWCP-5a online
The OWCP-5a form is essential for assessing the work capacity of individuals with psychiatric or psychological conditions. This guide provides step-by-step instructions for completing the form online.
Follow the steps to complete the OWCP-5a form smoothly.
- Click the ‘Get Form’ button to access the OWCP-5a document and open it in your online editor.
- Begin by entering the injured worker's name in the designated field, ensuring accurate spelling of their first, middle, and last names.
- Input the OWCP number in the appropriate section. This number is essential for tracking the claim.
- Carefully address each question regarding the employee's work capacity. For question 1, indicate whether the employee is competent to work 8 hours a day and provide medical reasons if the answer is 'no'.
- If the employee cannot work 8 hours daily, specify the number of hours they can work and answer whether this number might increase. If applicable, indicate when they might return to full-time work.
- Respond to question 3 about the employee's competency to perform their usual job duties. If they are not competent, explain which aspects of the position pose problems.
- In question 4, describe suitable duties or work environments for the employee, noting any medical restrictions and potential accommodations.
- For question 5, list any other medical factors that should be considered in finding a position for the individual.
- Enter the physician's name clearly, ensuring it is typed or printed legibly.
- Include the physician's telephone number with the area code, followed by the signature of the physician.
- Finally, date the completed form. After filling out all sections, save the changes, and consider downloading or printing a copy for your records.
Complete the OWCP-5a form online today to ensure efficient processing of your claim.
In case you're receiving continuation of pay, you must ask that form CA-7 be availed to you within 30 days of the COP period, and then sent over to OWCP by the 40th day of COP. Your employer will then have 5 days to submit the form to OWCP after checking it for accuracy and completion.
Industry-leading security and compliance
US Legal Forms protects your data by complying with industry-specific security standards.
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.