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Complete the Form Ow, cp 5, C PDF by providing the information meant for each individual area.
Fill out the Yes, Very, Heavy Medium, Heavy, Light, Yes, Yes, Yes, Yes, Yes, of, Hours, Able, to, Work of, Hours, Able, to, Work Lbs, Activity, Repetitive, Movements and Limitation areas with any particulars that may be asked by the program.
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