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Printable Ca 17 Form

Printable Ca 17 Form

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Video instructions and help with filling out and completing Printable Ca 17 Form

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Instructions and help about dol ca 17

I'm Michael Samuelsson Duvall and I'm here to talk to you about Department of Labor forms and one of the main forms that we use on a monthly basis for Department of Labor patients it are the CA 17s this is the duty status report and it limits the patient's Duty and weight restrictions and it goes between the supervisor or HR and the physician this Duty status report is also used for your limited duty work offer and this paper is a federal paper it is very important that every time you receive one before from your supervisor before attending your doctor's visit that it is an original copy not a copy that it is an original and that your supervisor signs the right side of the page and that your doctor signs the left side of the page you are able to keep a copy of the document for yourself as well as your physician will keep a copy for records as well and they the physician can download the CA 17 to the portal as well as your supervisor needs to return the CA 17 once signed by your physic

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