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This version of the form is not currently in use and is provided for reference only. Download this version of
Form OWCP-17
for the current year.
Form OWCP-17 Rehabilitation Maintenance Certificate
What Is Form OWCP-17?
This is a legal form that was released by the U.S. Department of Labor on September 1, 2015 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form OWCP-17?
A: Form OWCP-17 is a Rehabilitation Maintenance Certificate.
Q: What is the purpose of Form OWCP-17?
A: The purpose of Form OWCP-17 is to certify the continued eligibility of an injured federal employee to receive rehabilitation maintenance benefits.
Q: Who should complete Form OWCP-17?
A: Form OWCP-17 should be completed by the injured federal employee and their supervisor.
Q: What information is required on Form OWCP-17?
A: Form OWCP-17 requires the employee's name, claim number, dates of rehabilitation, and certification of work capacity.
Form Details:
- Released on September 1, 2015;
- The latest available edition released by the U.S. Department of Labor;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form OWCP-17 by clicking the link below or browse more documents and templates provided by the U.S. Department of Labor.
Download Form OWCP-17 Rehabilitation Maintenance Certificate
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