Example: air traffic controller
Disability Certificate Ocf 3
Found 2 free book(s)Application for Accident Benefits (OCF-1) - Ontario
www.fsco.gov.on.caDisability Certificate (OCF-3) If the insurance company asks you to, please fill out the first section and give this form to your health practitioner (chiropractor, dentist, occupational therapist, nurse practitioner, optometrist, physician, physiotherapist, speech-language pathologist or psychologist). This form is completed by you or your
Disability Certificate (OCF-3) - Ontario
www.fsco.gov.on.caOCF-3 Page 4 of 5 If you responded ‘Yes’ to any disability test above, what is the anticipated duration? 1-4 weeks 5-8 weeks 9-12 weeks more than 12 weeks If you responded Anticipated Duration ‘more than 12 weeks’ to any disability test above, please explain why the task/activity limitations are likely to persist beyond 12 weeks.