Get the up-to-date ca 16 2024 now

Show details

4.8 out of 5

205 votes

03-18 Previous Revision Obsolete PART B - ATTENDING PHYSICIAN S REPORT 14. If an employee elects to be treated by a private physician a copy of the American Medical Association Standard Billing Form AMA OWCP-1500 should be supplied together with the submitted Form CA-16. The supervisor shall immediately authorize examination and appropriate medical care by use of Form CA-16 issued to either a United States medical office or hospital or any duly qualified physician/ hospital of the employee s ch ...

Here's how it works

01. Edit your ca 16 pdf online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send ca 16 fillable via email, link, or fax. You can also download it, export it or print it out.

The easiest way to modify Ca 16 in PDF format online

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Working on paperwork with our extensive and intuitive PDF editor is simple. Adhere to the instructions below to complete Ca 16 online quickly and easily:

Log in to your account. Log in with your email and password or create a free account to test the service prior to choosing the subscription.
Import a form. Drag and drop the file from your device or import it from other services, like Google Drive, OneDrive, Dropbox, or an external link.
Edit Ca 16. Easily add and highlight text, insert images, checkmarks, and icons, drop new fillable areas, and rearrange or remove pages from your paperwork.
Get the Ca 16 completed. Download your modified document, export it to the cloud, print it from the editor, or share it with others through a Shareable link or as an email attachment.

Benefit from DocHub, one of the most easy-to-use editors to rapidly handle your documentation online!

See more ca 16 versions

We've got more versions of the ca 16 form. Select the right ca 16 version from the list and start editing it straight away!

Versions	Form popularity	Fillable & printable
2018	4.8 Satisfied (205 Votes)
2005	4.4 Satisfied (51 Votes)
1997	4.4 Satisfied (68 Votes)
1988	4.3 Satisfied (57 Votes)

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

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.

How long do I have to submit a CA 1?

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.

What is the CA-16 period?

\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.

When can ca-16 be issued?

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.

What is a CA 17 used for?

The CA-17 was designed to provide the doctor with an accurate description of the physical work requirements of the injured letter carrier. The CA-17 is a legal document that determines both an injured worker's medical restrictions and entitlement to wage-loss compensation benefits.

ca 16 form 2023

ca-16 fillable ca-17 ca 16 highway dol ca-16 ca-16 form 2022 ca-16 pdf ca-16 usda ca-16 nalc

How long do you have to fill out a ca-1?

What is a Ca-2 claim?

CA-2 - Notice of Occupational Disease and Claim for Compensation. Use for occupational disease or illness claims - medical condition developed over more than one workday (i.e. carpal tunnel, skin disease).

What is a 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 CA-1 form used for?

Form CA-1 Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation.

What is the difference between a ca-1 and a Ca 2?

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).