- US Legal Forms
- Form Library
- More Forms
- More Multi-State Forms
- CA-20 - Attending Physician’s Report
Get CA-20 - Attending Physician’s Report
OMB No. 1240-0046 Expires: 08/31/2026 Attending Physician s Report Reset U.S. Department of Labor Office of Workers ' Compensation Programs Print 1. Patient s name (last, first, middle): 2. OCP.
How It Works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out and sign ca20 form online?
Get your online template and fill it in using progressive features. Enjoy smart fillable fields and interactivity. Follow the simple instructions below:
Feel all the advantages of submitting and completing legal documents on the internet. With our service filling in CA-20 - Attending Physician’s Report will take a matter of minutes. We make that possible by giving you access to our feature-rich editor capable of changing/correcting a document?s initial textual content, adding special fields, and e-signing.
Fill out CA-20 - Attending Physician’s Report in a couple of minutes by using the instructions below:
- Select the document template you need in the library of legal forms.
- Choose the Get form button to open it and move to editing.
- Submit all of the required boxes (they are yellowish).
- The Signature Wizard will allow you to insert your electronic autograph after you have finished imputing details.
- Insert the relevant date.
- Check the whole document to be certain you?ve filled out everything and no changes are required.
- Press Done and download the resulting document to your computer.
Send your CA-20 - Attending Physician’s Report in a digital form as soon as you are done with completing it. Your data is well-protected, since we adhere to the newest security criteria. Join millions of happy users that are already filling out legal forms straight from their homes.
Experience a faster way to fill out and sign forms on the web. Access the most extensive library of templates available.
Labor attending report FAQ
-
The 90-day rule under workers' compensation law in California states that the workers' compensation insurance carrier must provide a decision on your claim within 90 days of submission. If it is not approved, denied, or extended within 90 days, the claim is automatically approved.
-
The statute of limitations for filing a workers' compensation claim in California is one year from the date of your job-related injury or illness. If you do not file a workers' compensation claim within a year of becoming aware of your injury or illness, you may lose your right to file at all.
-
To be eligible for COP, you must submit a CA-1 within 30 days of the injury. If disabled and claiming COP, you must submit medical evidence supporting your disability to your employing agency within 10 workdays.
-
Excused Absence. Medical Treatment. Return to Work (Employee) The CA-2 Notice of Occupational Disease form should be used if you have sustained an occupational disease injury on the job.
-
04-13) INSTRUCTIONS FOR COMPLETING FORM CA-5, CLAIM FOR COMPENSATION BY WIDOW, WIDOWER, AND/OR CHILDREN Who Should File Claim • This claim form should be completed and filed by the widow or widower for self and surviving children.
-
Statute of limitations refers to the time limit within which a lawsuit must be filed. In California, the statute of limitations for personal injury claims is generally two years from the date of the injury.
-
Generally, you are not allowed to sue your employer for on-the-job injuries, including those caused by slip and fall accidents. Instead, you must seek compensation through California's workers' compensation system for job-related accidents.
-
In California, a workplace injury must be reported within 30 days of the incident and a workers' compensation claim must be filed within one year. Simply stated, when it comes to filing forms for work-related injuries, the sooner the better.
Related content
-
Form CA-16 - Authorization for Examination /...
PART B – ATTENDING PHYSICIAN'S REPORT ... 20. Did Injury Require Hospitalization?...
Learn more -
Medical School Graduation Questionnaire
Jul 8, 2019 — The All Schools Summary Report of the 2019 Medical School Graduation...
Learn more -
Toxicological Review of Tetrachloroethylene ...
steady state; i.e., when all rates are constant after equilibrium has been reached...
Learn more -
American Urological Association (AUA) Guideline
by G Statements · 2012 — Purpose: The purpose of this Guideline is to provide guidance...
Learn more -
California and fracking - Global Energy Monitor...
A report released in January 2015 stated that nearly half of all new oil wells in the...
Learn more -
Perchlorate: Overview of Issues, Status, and...
by P Team · 2005 — In general, past management practices did not prevent the release of...
Learn more -
Tilray® T18 Alien Dawg Medical Cannabis
Jun 4, 2023 — This strong strain is not recommended for beginners. It will produce a...
Learn more -
Report of the ILO Meeting of Experts on Problems...
Feb 21, 2021 — 20. A Government expert pointed out that workers' participation varied...
Learn more -
the Rajneeshee claim a travesty of justice...
750 residents reported. 19. Rajneeshee panel attends Statesman-Journal Newsmakers'...
Learn more -
Attending Physician's Report
Form CA-20 and complete items 1-3 on the front. The form should be promptly referred to...
Learn more -
DOL-ESA Forms
Windows is either a registered trademark or a trademark of Microsoft Corporation in the...
Learn more -
OFFICE OF CIVILIAN HUMAN RESOURCES
CA-20, Attending Physician's report (each time medical treatment is received and/or office...
Learn more -
Immediately upon injured employee's return to work
FORM NUMBER. CA-7. (CA-20 attached). CA-8. CA-16. NAME. "Claim for Compensa- tion on...
Learn more -
HR Department - Benefits: Federal
A formal incident report, SI Occupational Injury and Illness Report, ... If this form is...
Learn more -
Bureau of Indian Education (BIE) Employee OWCP...
CA-20: Attending Physician's Report. Must provide to treating physician to complete....
Learn more -
Bureau of Indian Education (BIE) Supervisor OWCP...
â–¡CA-20: Attending Physician's Report. Provide form to employee for medical appointments...
Learn more -
Attending Physician's Statement
Completion of this form will help to expedite processing of the claim and reduce...
Learn more -
20 CFR § 10.7 - What forms are needed to process...
Form No. Title. (1) CA-1, Federal Employee's Notice of Traumatic Injury and Claim for...
Learn more -
Attending Physician's Report
Form CA-20 and complete items 1-3 on the front. The form should be promptly referred to...
Learn more -
DOL-ESA Forms
Windows is either a registered trademark or a trademark of Microsoft Corporation in the...
Learn more -
HR Department - Benefits: Trust
If a CA-16 is not issued, you should obtain a CA-20, Attending Physician's Report from...
Learn more -
OFFICE OF CIVILIAN HUMAN RESOURCES
Report Injury – MUST SUBMIT CA-1 OR CA-2 TO RECEIVE OWCP CLAIM NUMBER ... CA-20...
Learn more -
Indian Affairs (IA) Supervisor OWCP Checklist
Report of Injury/Illness – Must submit CA-1or 2 to receive OWCP Claim Number ... CA-20...
Learn more -
Bureau of Indian Education (BIE) Employee OWCP...
CA-20: Attending Physician's Report. Must provide to treating physician to complete....
Learn more -
U.S. Department of Labor
FORM CA-20, PHYSICIAN'S REPORT. Compensation for wage loss cannot be paid unless medical...
Learn more -
20 CFR § 10.7 - What forms are needed to process...
Attending Physician's Supplemental Report. (15) CA-40, Designation of a Recipient of the...
Learn more -
Attending Physician's Statement
I authorize any physician, medical practitioner, hospital, clinic, other health facility...
Learn more -
CA-20 - Attending Physician's Report
Cited by 3 — Important Notes: A medical report is required by OWCP before payment of...
Learn more -
ca-20.pdf
Cited by 3 — Attending Physician's Report ... OWCP WITHIN THE PAST 10 DAYS, YOU NEED NOT...
Learn more -
An Employee's Guide on Reporting A Work-Related...
Nov 19, 2020 — Form CA-20 - Attending Physician's Report. Because it is harder to prove...
Learn more -
When Injured at Work Checklist
CA-20, Attending Physician's Report; OSHA Form 301, Injury and Illness Injury Report. The...
Learn more -
Immediately upon injured employee's return to work
FORM NUMBER. CA-7. (CA-20 attached). CA-8. CA-16. NAME. "Claim for Compensa- tion on...
Learn more -
Office of Workers' Compensation Programs, Labor §...
Official Superior's Report of Employ- ee's Death. (8) CA–7 . ... (13) CA–20...
Learn more -
FECA Medical Report Forms, Claim for Compensation
Mar 15, 2023 — OWCP Forms: CA-16, Authorization for Examination and/or Treatment; CA-17...
Learn more -
What forms are needed to process claims under the...
Authorization of Examination and/or Treatment. (12) CA–17, Duty Status Report. (13)...
Learn more -
Supervisor's Role in Workers Compensation
CA-20: Attending Physician's Report. CA-17: Duty Status Report – Used to specify job...
Learn more -
Office of Workers Compensation
CA-17, U.S. Department of Labor Duty Status Report, 6.2021. CA-20, U.S. Department of...
Learn more -
CA-20 - Attending Physician's Report
Cited by 3 — If you are not a physician, a physician must co-sign and date the form as...
Learn more -
ca-20.pdf
Cited by 3 — Attending Physician's Report ... OWCP WITHIN THE PAST 10 DAYS, YOU NEED NOT...
Learn more -
An Employee's Guide on Reporting A Work-Related...
19-Nov-2020 — Form CA-20 - Attending Physician's Report. Because it is harder to prove...
Learn more -
Office of Workers' Compensation Programs, Labor §...
Time Analysis Form. (10) CA–7b ............. Leave Buy Back (LBB) Worksheet/Cer-...
Learn more -
When Injured at Work Checklist
CA-20, Attending Physician's Report; OSHA Form 301, Injury and Illness Injury Report. The...
Learn more -
FECA Medical Report Forms, Claim for Compensation
15-Mar-2023 — OWCP Forms: CA-16, Authorization for Examination and/or Treatment; CA-17...
Learn more -
Workers Compensation (PDF)
CA-. 20a. Attending Physicians. Supplemental Report. Provides OWCP with additional medical...
Learn more -
Immediately upon injured employee's return to work
FORM NUMBER. CA-7. (CA-20 attached). CA-8. CA-16. NAME. "Claim for Compensa- tion on...
Learn more -
Federal Employee's Notice of U
YOU NEED NOT SUBMIT THIS FORM CA-20. INSTRUCTIONS TO PHYSICIAN FOR COMPLETING ATTENDING...
Learn more -
Attending Physician's Report
Form CA-20 and complete items 1-3 on the front. The form should be promptly referred to...
Learn more -
DOL-ESA Forms
Windows is either a registered trademark or a trademark of Microsoft Corporation in the...
Learn more -
HR Department - Benefits: Trust
If a CA-16 is not issued, you should obtain a CA-20, Attending Physician's Report from...
Learn more -
Indian Affairs (IA) Supervisor OWCP Checklist
Report of Injury/Illness – Must submit CA-1or 2 to receive OWCP Claim Number ... CA-20...
Learn more -
OFFICE OF CIVILIAN HUMAN RESOURCES
Report Injury – MUST SUBMIT CA-1 OR CA-2 TO RECEIVE OWCP CLAIM NUMBER ... CA-20...
Learn more -
U.S. Department of Labor
FORM CA-20, PHYSICIAN'S REPORT. Compensation for wage loss cannot be paid unless medical...
Learn more -
Attending Physician's Statement
I authorize any physician, medical practitioner, hospital, clinic, other health facility...
Learn more -
20 CFR § 10.7 - What forms are needed to process...
Attending Physician's Supplemental Report. (15) CA-40, Designation of a Recipient of the...
Learn more -
Claim Forms and Instructions
PROVIDE the Attending Physician's Statement (Pages 8-9) to the physician (s) treating you...
Learn more -
CA-20 - Attending Physician's Report
Cited by 3 — A medical report is required by OWCP before payment of compensation for...
Learn more -
Forms
CA-20*. Attending Physician's Report. CA-26. Authorization Request Form and...
Learn more -
ca-20.pdf
Cited by 3 — Attending Physician's Report ... OWCP WITHIN THE PAST 10 DAYS, YOU NEED NOT...
Learn more -
An Employee's Guide on Reporting A Work-Related...
Nov 19, 2020 — Form CA-20 - Attending Physician's Report. Because it is harder to prove...
Learn more -
The Supervisor's Handbook On What To Do When Your...
Oct 6, 2021 — Form CA-20 "Attending Physician's Report" should be filed at the same time...
Learn more -
Office of Workers' Compensation Programs, Labor §...
§10.330 What are the requirements for medical reports? In all cases reported to OWCP, a...
Learn more -
Office of Workers' Compensation Programs, Labor §...
Official Superior's Report of Employ- ee's Death. (8) CA–7 . ... (13) CA–20...
Learn more -
CA-20 - Attending Physician's Report
Aug 12, 2014 — Home · Resources; CA 20 Attending Physician's Report. CA-20 - Attending...
Learn more -
Attending Physician's Report
Form CA-20 and complete items 1-3 on the front. The form should be promptly referred to...
Learn more -
When Injured at Work Checklist
CA-20, Attending Physician's Report; OSHA Form 301, Injury and Illness Injury Report. The...
Learn more -
DOL-ESA Forms
Windows is either a registered trademark or a trademark of Microsoft Corporation in the...
Learn more -
Office of Workers Compensation
CA-810,Revised 2009, Injury Compensation for Federal Employees Publication CA-810...
Learn more -
Immediately upon injured employee's return to work
FORM NUMBER. CA-7. (CA-20 attached). CA-8. CA-16. NAME. "Claim for Compensa- tion on...
Learn more -
OFFICE OF CIVILIAN HUMAN RESOURCES
CA-20, Attending Physician's report (each time medical treatment is received and/or office...
Learn more -
Indian Affairs (IA) Supervisor OWCP Checklist
Obtain Form CA-16 from your supervisor to authorize medical treatment. Ask the doctor to...
Learn more -
HR Department - Benefits: Federal
This form is not available online. If this form is used in place of the CA-20, the...
Learn more -
Bureau of Indian Education (BIE) Supervisor OWCP...
â–¡CA-20: Attending Physician's Report. Provide form to employee for medical appointments...
Learn more -
Attending Physician's Statement
Completion of this form will help to expedite processing of the claim and reduce...
Learn more -
20 CFR § 10.7 - What forms are needed to process...
Form No. Title. (1) CA-1, Federal Employee's Notice of Traumatic Injury and Claim for...
Learn more -
CA-20 - Attending Physician's Report
Cited by 3 — Attending Physician's Report. OMB No. 1240-0046. Expires: 08/31/2026. 1...
Learn more -
ca-20.pdf
Cited by 3 — The form should be promptly referred to the attending physician for early...
Learn more -
Forms
Fillable Forms ; CA-20*. Attending Physician's Report ; CA-26. Authorization Request Form...
Learn more -
An Employee's Guide on Reporting A Work-Related...
Nov 19, 2020 — Form CA-20 - Attending Physician's Report. Because it is harder to prove...
Learn more -
Office of Workers' Compensation Programs, Labor §...
Attending Physician's Report. (14) CA–20a ........... Attending Physician's...
Learn more -
When Injured at Work Checklist
CA-20, Attending Physician's Report; OSHA Form 301, Injury and Illness Injury Report. The...
Learn more -
Immediately upon injured employee's return to work
FORM NUMBER. CA-7. (CA-20 attached). CA-8. CA-16. NAME. "Claim for Compensa- tion on...
Learn more -
Office of Workers Compensation
OWCP 957, Medical Travel Form, 2.2017. CA-17, U.S. Department of Labor Duty Status Report...
Learn more -
What forms are needed to process claims under the...
Authorization of Examination and/or Treatment. (12) CA–17, Duty Status Report. (13)...
Learn more -
Form CA-16 - Authorization for Examination /...
PART B – ATTENDING PHYSICIAN'S REPORT. 14. Employee's Name (last, first, middle). 15...
Learn more -
MINOR CONSENT TO MEDICAL TREATMENT LAWS
This compilation includes state, District of Columbia, and territory statutes as of...
Learn more -
Toxicological Review of Tetrachloroethylene ...
5-20. 5.1.4.1. Sample Reference Concentrations (RfCs) for Kidney Toxicity ..... 5-21...
Learn more -
American Urological Association (AUA) Guideline
by G Statements · 2012 — Purpose: The purpose of this Guideline is to provide guidance...
Learn more -
California and fracking - Global Energy Monitor...
A report released in January 2015 stated that nearly half of all new oil wells in the...
Learn more -
Perchlorate: Overview of Issues, Status, and...
by P Team · 2005 — The potassium form of perchlorate appears to be used exclusively for...
Learn more -
Form CA-16 - Authorization for Examination /...
PART B – ATTENDING PHYSICIAN'S REPORT ... 20. Did Injury Require Hospitalization?...
Learn more -
Artificial intelligence and policy: quo vadis?
by A Lauterbach · 2019 · Cited by 57 — Findings. Policymakers still need to develop an...
Learn more -
MINOR CONSENT TO MEDICAL TREATMENT LAWS
This compilation includes state, District of Columbia, and territory statutes as of...
Learn more -
Helping Give Away Psychological...
This page provides information and practical considerations for the clinician, as well as...
Learn more -
the Rajneeshee claim a travesty of justice...
testimonies from Jewish disciples. 14. Reports of Rajneeshee demonstration in Zurich; 20...
Learn more -
PERFLUORONONANOIC ACID (PFNA) New Jersey ...
by JA Gleason · 2015 · Cited by 1 — was the only PFC reported at the three Gloucester...
Learn more -
American Urological Association (AUA) Guideline
by G Statements · 2012 — Purpose: The purpose of this Guideline is to provide guidance...
Learn more -
Form CA-16 - Authorization for Examination /...
You are authorized to examine and provide treatment for the injury or disease described in...
Learn more -
MINOR CONSENT TO MEDICAL TREATMENT LAWS
§20-16-508 (2012). ... CONSENT TO ABORTION; FORM; PERSONS LESS THAN EIGHTEEN ... The...
Learn more -
California and fracking - Global Energy Monitor...
A report released in January 2015 stated that nearly half of all new oil wells in the...
Learn more -
Perchlorate: Overview of Issues, Status, and...
by P Team · 2005 — In general, past management practices did not prevent the release of...
Learn more -
Toxicological Review of Tetrachloroethylene ...
5-20. 5.1.4.1. Sample Reference Concentrations (RfCs) for Kidney Toxicity ..... 5-21...
Learn more -
Helping Give Away Psychological...
This page provides information and practical considerations for the clinician, as well as...
Learn more -
American Urological Association (AUA) Guideline
by G Statements · 2012 — Purpose: The purpose of this Guideline is to provide guidance...
Learn more -
Franz Hartmann
Report of observations Made During a Nine Months' Stay at the Headquarters of the...
Learn more -
California and fracking - Global Energy Monitor...
A report released in January 2015 stated that nearly half of all new oil wells in the...
Learn more -
Perchlorate: Overview of Issues, Status, and...
by P Team · 2005 — The potassium form of perchlorate appears to be used exclusively for...
Learn more -
Artificial intelligence and policy: quo vadis?
by A Lauterbach · 2019 · Cited by 57 — The AI Now Institute recommends abolishing the...
Learn more -
User talk:Sir Revan125
Problem reports list - #35952Edit. A user reported your rollback of his/her edits to the...
Learn more -
Franz Hartmann
A serious inner struggle ensued, but at last the desire for occult knowledge gained the...
Learn more -
Doctor Henry
6 days ago — Doctor Henry is a physician and former Enclave scientist living in NCR town...
Learn more
Related links form
Use professional pre-built templates to fill in and sign documents online faster. Get access to thousands of forms.
USLegal fulfills industry-leading security and compliance standards.
-
VeriSign secured
#1 Internet-trusted security seal. Ensures that a website is free of malware attacks.
-
Accredited Business
Guarantees that a business meets BBB accreditation standards in the US and Canada.
-
TopTen Reviews
Highest customer reviews on one of the most highly-trusted product review platforms.