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Form CA-1 Federal Employees Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation.
Reporting promptly helps avoid problems and delays in receiving benefits, including medical care. If you dont report your injury within 30 days, you could lose your right to receive workers compensation benefits.
Federal Employees Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation. The Form CA-1 was developed to ensure regulatory compliance and to be more customer friendly. The form must be completed by the injured employee, a witness, and the injured employees supervisor.
821.12 Postal Service Accident Reports Report all accidents and occupational injuries and illnesses in the Employee Health and Safety (EHS) within 24 hours of the date of the accident, the diagnosis of injury or illness, or the notification of the manager of the situation.
You Must Have Physician Confirmation Your physician must submit information pertaining to your health history, job satisfaction, and more. The physicians statement must also include additional information like objective test data, personal records, and depositions from co-workers, family, or friends.
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People also ask

Filling out a DWC-1 form is actually pretty straightforward.On the form, you will need to only fill out the Employee section, which asks for basic information: Name, date, and address. Date and location of injury. Brief description of injury. List of injured body parts. Social Security Number.
DWC-1 Workers Compensation Claim Form. This is the form you will complete and send to EMPLOYERS to initiate the claim process for your employee. This form must be completed and provided to EMPLOYERS within one working day from you becoming aware of a work-related injury or occupational disease.
0:10 19:24 How to Fill In a CA 1 - YouTube YouTube Start of suggested clip End of suggested clip In this video were going to be covering how to fill out your CA. One form or as it says hereMoreIn this video were going to be covering how to fill out your CA. One form or as it says here federal employees notice of traumatic injury.
Form CA-2 is used to give notice of an occupational disease; a medical condition which is caused or aggravated by the work environment over a period longer than one work shift.
To be eligible for COP, you must submit a CA-1 within 30 days of the injury. If disabled and claiming COP, you must submit medical evidence supporting your disability to your employing agency within 10 workdays.

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