INSTRUCTIONS FOR COMPLETING DUTY STATUS REPORT (CA-17) SUPERVISOR: Complete Side A and refer the form to the physician to complete Side B. Fill in the address of …

All of the Federal Employees Program's online forms (with the exception of Forms CA-16 and CA-27) are available to print and to manually fill and submit. Simply click on the appropriate form …

Form CA-17 For common positions in EA, have a pre-prepared CA-17 with the left side completed for the injured worker to provide to their physician. On Form CA-17, the EA should indicate …

The CA-17 is a legal document that determines both an injured worker’s medical restrictions and entitlement to wage-loss compensation benefits. When completed, the CA-17 contains …

In order to start receiving compensation as an injured federal worker, you are required to fill in certain key forms, with one of these being form CA-17.

Form CA-17 is designed to be filled out by the injured worker’s supervisor and his/her treating physician to complete. It is split into two sections: A and B. Side A is to be completed by the …

This form is provided for the purpose of obtaining a duty status report for the employee named below. This request. previous authorization issued in this case. This request for information is …

State Route 17 (SR 17, locally known as Highway 17) is a state highway in the U.S. state of California that runs from State Route 1 in Santa Cruz to I-280 and I-880 in San Jose.

California's 17th congressional district is a congressional district in the U.S. state of California that is currently represented by Ro Khanna. It is located in the South Bay and East Bay regions of …