Get Printable Ca 17 Form

Print. Reset. Page 2. A medical report is required by the Office of Workers' Compensation Programs before payment of compensation for loss of wages or permanent disability can be made to the employee. This information is required to obtain or retain a benefit (5 U.S.C.

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.

CA-1 - Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation. ... CA-2 - Notice of Occupational Disease and Claim for Compensation. Use for occupational disease or illness claims - medical condition developed over more than one workday (i.e. carpal tunnel, skin disease).

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.

The statute of limitations for a claim is three years from the date of injury or death. Unless there are exceptional circumstances, claims must be filed in these time frames or they will become invalid.

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.

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.

There is no specific time limits for OWCP to process your CA-7 other that it should be done as quickly as possible but it has been my experience that if there are no other issues going on with your claim and they do not dispute the CA-7 it usually takes 2-4 weeks for them to process and issue check or direct deposit.

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.