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Versions	Form popularity	Fillable & printable
DoL CA-16 2018	4.8 Satisfied (205 Votes)
DoL CA-16 2005	4.4 Satisfied (51 Votes)
DoL CA-16 1997	4.4 Satisfied (68 Votes)
DoL CA-16 1988	4.3 Satisfied (57 Votes)

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What is a CA 16 used for?

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 USPS?

(To be eligible for continuation of pay, the employee, or someone acting on his/her behalf, must file Form CA-1 within 30 days following the injury and provide medical evidence in support of disability within 10 days of submission of the CA-1.

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.

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.

How long do I have to file a Ca 2?

With the CA-2 form, the deadline is three years from when you first became aware of the medical condition.

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How can I get ca-16?

Your supervisor can authorize the medical treatment by telephone to the private provider or hospital, and follow-up with the Authorization for Examination and/or Treatment (Form CA-16, Authorization for Examination and/or Treatment) to the medical facility within 48 hours.

What is ca1?

Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation. The Form CA-1 was developed to ensure regulatory compliance and to be more customer friendly. The form must be completed by the injured employee, a witness, and the injured employee's supervisor.

What is the difference between ca1 and ca2?

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).

Who fills out a ca16?

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.

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.

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