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What is a form 1032?

The purpose of Form 1032 is to provide a tool for calculating the Residential Care individual's contribution to the cost of care. Residential Care individuals are required to pay room and board from their monthly income. Additionally, a copayment may be required.

What is a ca2a form?

A CA-2a form is a claim for recurrence. If for instance an employee has an injured back and they go out of work for awhile and they're returned back to work, and then they have a worsening of that back injury condition, they would claim a recurrence. To do that they would file a form CA-2a.

What is a CA 1032 form?

Form CA-1032 is issued to all claimants on the periodic roll on an annual basis. This information is used to decide whether the claimant is entitled to continue receiving compensation benefits, or whether his/her benefits should be adjusted.

What is a CA-7 schedule award?

When an injured worker has permanent loss of use of certain body parts or organs, s/he may request a schedule award by submitting a CA-7 Claim for Schedule Award and an impairment rating completed by her/his treating physician.

What is the difference between ca1 and ca2?

Form CA-1 is used for a traumatic injury (a medical condition resulting from an incident or activity occurring during one work shift). Form CA-2 is for an occupational disease (a medical condition resulting from an incident or activity occurring over more than one work shift).

forms en 1032 rev 08 17

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What is a ca2a form?

A CA-2a form is a claim for recurrence. If for instance an employee has an injured back and they go out of work for awhile and they're returned back to work, and then they have a worsening of that back injury condition, they would claim a recurrence. To do that they would file a form CA-2a.

What is a form CA 16?

Form CA-16 - Authorization for Examination and/or Treatment. This form guarantees payment to the care provider if the employee requires medical treatment because of a work-related traumatic injury. Your supervisor should complete page 1 of Form CA-16 and provide it to you for your attending physicians information.

What is a ca20?

CA-20 Form, Attending Physician's Report - This medical report is required by OWCP BEFORE payment of compensation for loss of wages can be made to the employee. Recommend this form used in lieu of a narrative medical report issued by the physician.

When should I file CA 7?

The CA-7 must be filed within one year of the dates claimed, or the date your claim is accepted, whichever is later.

What is a ca20 form?

INSTRUCTIONS FOR THE INJURED WORKER/ EMPLOYING AGENCY If the claim is for occupational disease, filed on Form CA-2, a medical report as described in the instructions accompanying that form is required in most cases. The employee should bring these requirements to the physician's attention.

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