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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.
General: This form is used when claiming FECA compensation, including repurchase of paid leave. It must be used when claiming compensation for more than one consecutive period of leave. Instructions for Employee: Blocks 1, 2, and 3: Self-explanatory.
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.
The CA-7 must be filed within one year of the dates claimed, or the date your claim is accepted, whichever is later.
\u25cb Form CA-16 is valid for up to sixty days from date of issuance, and may be terminated earlier upon written notice from OWCP to the provider. It should not be used to authorize a change of physicians after the initial choice is exercised by the employee.
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If you are claiming a traumatic injury, your employing agency may have issued you a Form CA-16 so that you could obtain medical treatment right away. This authorization covers non-surgical treatment and continues for up to 60 calendar days from the date of injury.
FORM CA-20, PHYSICIAN'S REPORT. Compensation for wage loss cannot be paid unless medical evidence has been submitted supporting disability for work during the period claimed.
8:37 22:23 How to Fill In The CA 7, 7a, 7b - YouTube YouTube Start of suggested clip End of suggested clip The date the annuity began. Amount of monthly payment. And then your Retirement System select whichMoreThe date the annuity began. Amount of monthly payment. And then your Retirement System select which one of these it was and move on if no select no now you've already completed. Page one of the CA.
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).
Q: Can I file for Federal Disability Retirement benefits while I am on OWCP Federal Workers' Compensation? A: Yes, you are able to apply for Federal Disability Retirement if you are on OWCP Workers' Compensation but keep in mind that if you are approved, you will not be able to receive both benefits at the same time.

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