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CA-ll When Injured at Work Information Guide for Federal Employees is administered by the Of?ce of Workers' Compensation Programs (OWCP) of the U.S. . Submit written notice of your injury on Form CA-l if you sustained a traumatic
13 May 2016 Appendix H: Federal Workers' Compensation: Form CA-16 Fact Sheet claimed using Form OWCP-915 "Claimant Medical Reimbursement Form". 11. A CA-16 can only be used for payment of services for 60 days from the
OWCP adjudicates (decides if a claim is valid) claims. 0. 12 District Offices Page 11 Treatment Form CA-16 within four hours of request whenever possible.
HBK EL-505, INJURY COMPENSATION, DECEMBER 1995. FORMS. 431. OWCP Form CA-11. Page 2. HBK EL-505, INJURY COMPENSATION, DECEMBER
Take the form CA-16 and form OWCP-1500/HCFA-1500 read pamphlet CA-11, ''When Injured at Work" or Federal Personnel Manual, Chapter 810, Injury
Office of Workers' Compensation Programs Go to Section 3, and Complete Form CA-7b . Did employee work in position for 11 months prior to injury?
You need to complete either form CA-1, "Federal Employee's Notice of OWCP will advise you of the claim number which has been established. .. Where may I obtain the CA-11 "When Injured at Work Information Guide for Federal
a.m.. p.m.. 11. Date of this notice. Mo. Day Yr. 12. Employee's occupation. 13. Cause of injury (Describe what . Lost time covered by leave, LWOP, or COP: forward this form to OWCP The injury was not reported on Form CA-1 within 30 days.
Office of Workers' Compensation Programs Go to Section 3, and Complete Form CA-7b . Did employee work in position for 11 months prior to injury?
CA-11 When Injured at Work Information Guide for Federal Employees . Take Form CA-16 when you go to the doctor, along with Form OWCP-1500, which the
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