ELLIS CLINICOCCUPATIONAL & LEGAL MEDICINEOklahoma City, Oklahoma
OWCP · MUSCULOSKELETAL WORK CAPACITY

OWCP-5c OWCP-5c

OWCP-5c is a Work Capacity Evaluation used to document functional capacity and restrictions for musculoskeletal conditions. The current CA-20 itself points physicians to OWCP-5c when additional work-capacity detail is needed.

OFFICIAL DOL FORMSELLIS CLINIC OWCP
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ELLIS CLINIC MEDICAL FORM GUIDE

More Than Filling In Boxes

The form organizes information, but the strength of the medical evidence depends on the diagnosis, objective findings, work relationship, disability or restrictions, and the physician's reasoning.

Translate Medicine Into Function

The purpose is not merely to repeat a diagnosis; it is to communicate what the employee can physically do in a work setting.

Useful With Partial Disability

The current CA-20 tells physicians assessing partial disability that they may also complete OWCP-5c to describe work capacity.

CA-20 GUIDE →

Specificity Helps

Functional opinions are more useful when they identify tolerances for activities such as sitting, standing, walking, lifting, pushing, pulling, reaching, or repetitive movement when applicable.

WORK CAPACITY EVALUATION →
THE MEDICAL LOGIC

Medical Condition → Functional Capacity → Work Restrictions

A well-supported work-capacity opinion translates the medical condition and examination findings into practical limitations that an employing agency and OWCP can understand.

01DIAGNOSISIdentify the condition affecting capacity.
02EXAMDocument pertinent objective findings.
03CAPACITYAssess tolerances for relevant physical activities.
04RESTRICTIONSState medically supported limits and expected duration.
Important: Work-capacity forms do not replace the need for medical reasoning when causation, prolonged disability, or other complex issues are disputed. DOL's procedure manual recognizes that narrative reports may be necessary in those situations.
RELATED OWCP MEDICAL FORMS

Build the Medical Record