Transcription of CA-17 - Duty Status Report
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CA-17 - Duty Status Report
HBK EL-505, INJURY COMPENSATION, DECEMBER 1995 FORMS447 OWCP Form CA-17 InstructionsSummaryPurposeTo keep the ICCO and the OWCP office informed of the injured or ill employee sability to return to either limited or full By1. SIDE For initial disability: direct For continuing full or partial disability: ICCO2. SIDE B: Treating PhysicianWhen to Prepare1. After initial injury to accompany the For continuing total disability for each medical visit; or at a minimum of eachtwo For continuing limited duty or follow up examinations when employee hasreturned to Procedures1.
HBK EL-505, INJURY COMPENSATION, DECEMBER 1995 FORMS 448 OWCP Form CA-17 Instructions (continued) Instructions Side A is to be completed by the immediate supervisor/control office/point.
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