What Federal Employees Should Do When Injured At Work

Submit completed forms to your supervisor as soon as possible. For continuation of pay claims, submit Form CA-1 no later than 30 days following the injury. Obtain medical authorization using Form CA-16 before seeking treatment, unless emergency treatment is required. Submit medical evidence within 10 work days if claiming COP for a disabling injury. For further information or to submit additional forms, contact the Office of Workers' Compensation Programs (OWCP) at the U.S. Department of Labor. Mail physical forms to the specified OWCP office address provided by your employing agency.

Ensure to submit claims for continuation of pay within 30 days following the injury. Submit medical evidence within 10 work days if claiming continuation of pay for a disabling traumatic injury.

The purpose of this form is to provide federal employees with a clear and structured process for reporting work-related injuries and obtaining necessary medical treatment. By following the outlined steps, employees can ensure they receive the appropriate compensation and benefits under the Federal Employees' Compensation Act (FECA). This form helps maintain accurate records of injuries and facilitates communication between employees, supervisors, medical professionals, and human resources personnel. Timely and accurate submission of this form is crucial to ensure that all injury claims are processed efficiently and that employees receive the benefits they are entitled to. The form also provides essential information for medical authorization and compensation claims, streamlining the entire process for all parties involved.

• 1. Employee Information: Includes fields for the employee's name, contact details, and employment information.
• 2. Supervisor Information: Includes fields for the supervisor's name, contact details, and department information.
• 3. Injury Details: Includes fields for the date, time, and description of the injury, as well as any witnesses.
• 4. Medical Authorization: Includes a section for authorizing medical treatment using form CA-16.
• 5. Claim for Compensation: Includes sections for claiming continuation of pay (COP) and compensation beyond the COP period using forms CA-1, CA-2, and CA-7.

Failure to submit this form in a timely manner can result in delays or denial of compensation and benefits.

• Loss of Compensation: Delay or denial of wage loss compensation due to late submission.
• Medical Treatment Delays: Potential delays in receiving authorized medical treatment.
• Incomplete Injury Records: Lack of proper documentation for the injury, leading to difficulties in processing claims.

• 1. Traumatic Injury: Use Form CA-1 for reporting traumatic injuries.
• 2. Occupational Disease: Use Form CA-2 for reporting occupational diseases.
• 3. Continuation of Pay: Use Form CA-1 to claim continuation of pay within 30 days of the injury.
• 4. Medical Treatment Authorization: Use Form CA-16 to authorize medical treatment.
• 5. Compensation Claim: Use Form CA-7 to claim compensation for wage loss beyond the COP period.