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Complete the Form Owcp 5C PDF by providing the information meant for each individual area.
Fill out the If no please provide medical, How long will the restrictions, Has maximum medical improvement, Yes, a Please review the Guidance for, Sedentary, Yes, Light, Yes, Medium, Yes, Heavy, Yes, Very Heavy, and Yes areas with any particulars that may be asked by the program.
You should be requested for some necessary data so you can fill up the Twisting BendingStooping Operating, Yes Yes Yes Yes, Duration, Frequency, Operating a Motor Vehicle, tofrom work, Yes, Pushing Pulling Lifting Squatting, Yes Yes Yes Yes Yes Yes, Breaks, Duration, Frequency, If there are OTHER medical facts, Physicians Name Type or print, and Signature area.
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