U.S. Department of Labor Duty Status Report - blm 2026

1. Click ‘Get Form’ to open it in the editor.
2. Begin by filling out Side A, which is designated for the supervisor. Enter the employee's name, social security number, date of injury, and occupation.
3. In Section 7, specify the usual work requirements of the employee. Check whether they perform tasks like lifting or sitting continuously or intermittently and provide the number of hours for each activity.
4. Once Side A is complete, refer the form to a physician to fill out Side B. The physician will need to provide clinical findings, diagnosis due to injury, and other relevant medical information.
5. Ensure that all sections are filled accurately before saving your document. Use our platform’s features to sign and distribute the completed report as needed.

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