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Versions	Form popularity	Fillable & printable
2014	4.9 Satisfied (56 Votes)
2005	4 Satisfied (41 Votes)
2005	4.2 Satisfied (34 Votes)

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What is a ca16 form?

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 pr3 report?

PRIMARY TREATING PHYSICIAN'S PERMANENT AND STATIONARY REPORT(PR-3) This form is required to be used for ratings prepared pursuant to the 1997 Permanent Disability Rating Schedule.

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.

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 pr4 form?

PRIMARY TREATING PHYSICIAN'S PERMANENT AND STATIONARY REPORT(PR-4) This form is required to be used for ratings prepared pursuant to the 2005 Permanent Disability Rating Schedule and the AMA Guides to the Evaluation of Permanent Impairment (5th Ed.).

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