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Form CA-17 - Duty Status Report: This form is provided for purpose of obtaining a medical duty status report for IW. It may be issued initially with Form CA-16. Supervisor/Employing Agency completes agency portion by describing physical requirements of IWs job and noting availability of light or limited duty.
How to get a CA-16 form?
CA-16: Where Can EA Get One? Form CA-16 is available to the supervisor once they complete their portion of Form CA-1 in ECOMP. Form CA-16 is also available to the Agency Reviewer (AR) once they complete the final review of Form CA-1 in ECOMP.
What is a CA-1 or CA 2 form?
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).
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.
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Form CA-16. Rev. Oct. 1988. This form was electronically produced by National Production Services Staff. Page 2. PART B - ATTENDING PHYSICIANS REPORT. 14
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