Federal Employee's Notice of Traumatic Injury and Claim for ...

U.S. Department of Labor. Office of Workers' Compensation Programs. Federal Employee's Notice of Traumatic Injury and. Claim for Continuation of Pay/ ...

Forms | U.S. Department of Labor

Federal Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation ... Compensation Under the Federal Employees' Compensation Act. CA-16.

ca1.pdf - Farm Service Agency

Employee Signature. OWCP Use - NOI Code c. Source code b. Type code. Traumatic Injury and Claim for. Continuation of Pay/Compensation. U.S. Department of Labor.

Injury Compensation - DLA

When an employee sustains a traumatic injury in the performance of duty, he or she should file a written report on Form CA-1 , Federal Employee's Notice of ...

An Employee's Guide on Reporting A Work-Related Injury Or Disease

Traumatic injuries within the last 48 hours. Form CA-16 - Authorization for Examination and/or Treatment. This form guarantees payment to the ...

CA-1-Fillable-Word-Form

Federal Employee's Notice of. Traumatic Injury and Claim for. Continuation of Pay/Compensation. U.S. Department of Labor. Employment Standards Administration.

Federal Employees Compensation Act

To file a claim for traumatic injury, you should complete a CA-1, Notice of Traumatic Injury via ECOMP. CA-2 Notice of Occupational Disease: An occupational ...

Responsibilities For Employees | U.S. Department of the Interior

If you are injured at work, or have a work-related illness, you may be entitled to injury compensation benefits provided under the Federal Employees' ...

Workers Compensation Program (OWCP) - Department of Energy

Traumatic Injury - CA-1, Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation form must be completed. This form ...

What A Federal Employee Should Do When Injured At Work

If it is not returned to you, ask your supervisor for it. Receipt of Notice. Submit Claim For. If disabled due to traumatic injury, you may claim continuation ...

FmHA Instruction 2069-B - USDA Rural Development

Form CA-l, “Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation”, should be completed by the employee, or someone on ...

Types of Claims | U.S. Department of Commerce

Traumatic Injury · File a written report in ECOMP by completing the OSHA-301 form. · File form CA-1, Federal Employee's Notice of Traumatic Injury and Claim for ...

What forms are needed to process claims under the FECA? - eCFR

Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation. (2) CA-2, Notice of Occupational Disease and Claim for ...

3 FAH-1 H-3630 COMPENSATION FOR INJURY, DISABILITY, OR ...

Form DS-1971 need not be completed if the employee's return to duty has been reported on for Form CA-0001, Federal Employee's Notice of Traumatic Injury and ...

Workers' Compensation

The appropriate form to file is a CA-1, Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation. When an ...

How to File a Claim | U.S. Department of Commerce

Complete OSHA-301 form, Injury and Illness report; Initiate a new claim by filing either a CA-1, Federal Employee's Notice of Traumatic Injury and Claim for ...

Workers' Compensation Benefits | Bureau of Indian Education

If the employee has a traumatic injury (a specific event or series of events within one workday or shift), provide them with the Form CA-16, Authorization for ...

540 Injury Compensation Program - About USPS home

FECA provides for payment of monetary compensation to specified survivors of an employee whose death results from a work–related injury or occupational disease ...

Workers Compensation | U.S. Geological Survey - USGS.gov

... traumatic injury or occupational disease sustained while in the ... Injury Compensation for Federal Employees – Publication CA-810 (PDF); DOI ...

Departmental Policy on Workers' Compensation Program ...

Department-wide Program Administration. Claim forms must be submitted to. OWCP in a timely manner. The Employee's Notice of Traumatic Injury (CA-1) or.