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U S Department of Labor Duty Status Report  Blm  Form

U S Department of Labor Duty Status Report Blm Form

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Et seq.) and is OWCP File Number required to obtain or retain a benefit. Information collected will be handled and stored in compliance with the Freedom (If known) of Information Act, the Privacy Act of 1974 and the OMB Cir. A-108. Persons are not required to respond to this collection of information unless it displays a currently valid OMB control number. SIDE A - Supervisor: Complete this side and refer to physician SIDE B - Physician: Complete this side 1. Employee's Name (Last, first,...
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In this video we're going to be covering how to fill out your CA one form or as it says here federal employees notice of traumatic injury and claim for continuation of pay slash compensation this form is actually not too hard to fill out not a lot of people have problems filling this out there's nothing rEvally tricky on here so let's go ahead and jump right in we'll get right to it employee data this is the easiest portion of the form to fill out because it's everything you already know your name would go here it does ask for your last name first, so your last name would go first then your first name then middle initial over here you put your social security number in which is also very easy date of birth gender checkoff male or female home phone one question that people ask me frequently is I don't have a home phone what would I put here well just go ahead and use the number that they'll most likely be able to contact you on very easily in other words a cell phone is fine in box six

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