Ca 16 2026

See details

4.8 out of 5

205 votes

The document is a form from the U.S. Department of Labor's Office of Workers' Compensation Programs (OWCP) that authorizes 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 findings. The form emphasizes compliance with federal regulations regarding privacy and information handling, specifies billing procedures for medical services, and provides instructions for both the authorizing official and attending physician. It also includes provisions for accommodations for individuals with disabilities.

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.

How to use or fill out CA-16 with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the CA-16 in the editor.
Begin with Part A. Fill in the name and address of the medical facility or physician authorized to provide services in Item 1.
Enter the employee's identification details, including their full name and Social Security Number in Item 2.
Provide the date of injury in Item 3, followed by the employee's occupation in Item 4.
In Item 5, describe the injury or disease clearly. Ensure all information is accurate as it impacts benefits.
Complete Items 6 and 7 regarding authorization for treatment and any necessary approvals from OWCP.
Sign and date the form at Item B to certify that all information is true and accurate before submitting it through our platform.

Start using our platform today for free to streamline your CA-16 form completion!