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INSTRUCTIONS FOR THE INJURED WORKER/ EMPLOYING AGENCY If the claim is for occupational disease, filed on Form CA-2, a medical report as described in the instructions accompanying that form is required in most cases. The employee should bring these requirements to the physician's attention.
Form CA-17 is designed to be filled out by the injured worker's supervisor and his/her treating physician to complete. It is split into two sections: A and B. Side A is to be completed by the employee's supervisor.
General: This form is used when claiming FECA compensation, including repurchase of paid leave. It must be used when claiming compensation for more than one consecutive period of leave. Instructions for Employee: Blocks 1, 2, and 3: Self-explanatory.
Federal Workers' Compensation Injured postal workers are required to fill in form CA-17, which is a form which outlines information from a doctor forbidding an injured federal employee from carrying out certain activities due to their inherently physically taxing nature.
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.
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Form CA-7 is used by federal workers seeking to claim compensation for traumatic injuries suffered while on the job, as well as those who may have sustained an occupational disease during the performance of work-related duties. This form may be filled online, or downloaded and filled offline.
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).
1:21 19:24 How to Fill In a CA 1 - YouTube YouTube Start of suggested clip End of suggested clip Place where injury occurred in box nine. Sometimes what people will put in here is. The body partMorePlace where injury occurred in box nine. Sometimes what people will put in here is. The body part that was injured. Right elbow. This is incorrect you'd put that in box 14.
The CA-7 must be filed within one year of the dates claimed, or the date your claim is accepted, whichever is later.
0:46 22:23 How to Fill In The CA 7, 7a, 7b - YouTube YouTube Start of suggested clip End of suggested clip Easy you do want to make sure that of course your handwriting is legible. You don't want to make aMoreEasy you do want to make sure that of course your handwriting is legible. You don't want to make a mistake it could cause delay in your payment. If you're submitting CA sevens.

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