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INSTRUCTIONS FOR COMPLETING DUTY STATUS REPORT (CA-17) SUPERVISOR: Complete Side A and refer the form to the physician to complete Side B. Fill in the address of the Employing Agency and send a copy of this report to the OWCP address noted below. Enter the OWCP file number in the top right corner. PHYSICIAN:
1 Αυγ 2014 · Easily create and download a Duty Status Report (Form CA-17) in PDF or Word format at Templateroller.com. Fill out online or download blank form for free.
View, download and print fillable Ca-17 - Duty Status Report in PDF format online. Browse 1 Ca-17 Form Templates collected for any of your needs.
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Federal Workers' Compensation Injured postal workers are required to fill in form CA-17, which is a form which outlines information from a doctor forbidding an injured federal employee from carrying out certain activities due to their inherently physically taxing nature.
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