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More Resources. It is recommended that you take a Form CA-17 - Duty Status Report with you to give to your physician. This form provides your supervisor and OWCP with interim medical reports containing information as to your ability to return to any type of work.
The CA-2 form is a specific form that is used to file a claim for compensation due to an injury sustained while on the job in more than one work shift.
Most work-related medical conditions fall into two categories: (1) traumatic injury (Form CA-1, Federal Employees Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation), and (2) occupational disease (Form CA-2, Notice of Occupational Disease and Claim for Compensation).
If an employee requires medical treatment for a traumatic injury, a supervisor should complete the front of Form CA-16, within four hours of request whenever possible; however, if the supervisor doubts whether employees condition is related to employment, they should not issue Form CA-16.
The CA-2 Notice of Occupational Disease form should be used if you have sustained an occupational disease injury on the job.
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After signing into your ECOMP account with your email address and password, you will see your Employee Dashboard, which lists each existing injury/illness claim you have initiated, draft forms, and any current actions required of you. To file a new Form CA-1 click New Claim on the menu at the top.
As the supervisor, it is your responsibility to complete this form. However, if you have any reason to believe that the information provided by the employee is not correct, there are sections of the CA-1 where additional information should be provided: Section 28: Was the employee injured in the performance of duty?
A timely CA-1 must be filed within three years of the date of injury. However, the completion of the CA-1 must be done within 30 days of the date of injury in order for you to be eligible for continuation of pay. Be sure to retain your receipt and request a copy of the completed CA-1 from your supervisor.

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