Get the up-to-date ca 16 2025 now

Show details

4.8 out of 5

205 votes

The document is a form (CA-16) from the U.S. Department of Labor's Office of Workers' Compensation Programs, used to authorize medical examination and treatment for federal employees injured on the job. It outlines the necessary information required for authorization, including details about the medical facility, employee identification, injury description, and physician's report. The form emphasizes compliance with various regulations and privacy laws, specifies billing procedures, and provides instructions for both the authorizing official and attending physician regarding the completion of the form.

Here's how it works

01. Edit your workers benefits 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 workers compensation programs 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 the form CA-16?

CA-16 provides medical providers authorization from NASA for employee examination and/or treatment and guarantees payment for these services, regardless of whether the claim made by the employee is accepted or denied by the Department of Labor (DOL) Office of Workers Compensation Program (OWCP).

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 workers medical restrictions and entitlement to wage-loss compensation benefits.

Who fills out the CA7 form?

Form CA-7 is also used to claim leave buy back, schedule award or lost pay elements (ie, night differential, Sunday premium, holiday pay, etc). Form CA-7 should be submitted by an injured worker (IW) every two weeks while disabled and in a LWOP status, unless the IW has been placed on the periodic roll.

What injuries are not covered by workers compensation in California?

Injuries that are self-inflicted, including those resulting from a fight that the injured party instigated or injuries that occur from being intoxicated or under the influence of drugs, are generally not covered under workers compensation.

Who fills out a CA17?

Form CA-17 is designed to be filled out by the injured workers supervisor and his/her treating physician to complete.

ca 16

Ca 16 form ca-17 ca-16 pdf printable ca-16 form Ca 16 owcp ca-16 form 2024 CA-16 USPS CA 16 Highway

When can CA-16 be issued?

A CA-16 can be issued up to 48 hours after the employee has been treated. If the employee provides a medical report within 48 hours or treatment indicating the condition is work-related, a CA-16 can be issued with supervisory approval.

What not to say to a workers comp doctor?

What You Shouldnt Tell Your Workers Comp Doctor Never lie about prior injuries, pre-existing conditions, or medical history. Never lie about the extent of your workplace injury or how it happened. Do not exaggerate your symptoms, including pain or functionality.