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2) Form CA-1 Notice of Traumatic Injury should be completed by the injured employee and the employing agency (EA) supervisor or injury compensation specialist. 3) The CA-1 must be submitted to the EA within 30 days of the date of injury in order for the injured employee to be eligible for Continuation of Pay (COP).
What does CA-1 stand for?
While the exact meaning can vary depending on the industry or country, in the context of the U.S. Department of Transportation (DOT) and construction projects, a CA-1 form is a Claim for Compensation related to a workplace injury or accident.
How long does an employee have to file a CA-1?
For traumatic injuries, file Form CA-1 within 30 days following the injury, and for occupational disease claims, file Form CA-2. Once you complete your portion of the claim form, it will be forwarded to your supervisor who will complete the supervisors portion before forwarding the form for review.
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form ca 1
CA-1-Fillable-Word-Form
1) Continuation of pay for disability resulting from traumatic, job-related injury, not to exceed 45 calendar days. (To be eligible for continuation of pay,
Federal Employees Notice of Traumatic Injury and Claim
(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
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