The Federal Regulations administering the Federal Employees Compensation Act
at §10.110 require a Federal employer to complete and transmit Forms CA-1 and CA-2 to OWCP
within 10 working days after receipt of notice from the employee, if the injury or
disease will likely result in:
- a medical charge against OWCP;
- disability for work beyond the day or shift of injury;
- the need for more than two appointments for medical examination and/or treatment on separate days, leading to time loss from work;
- future disability;
- permanent impairment; or
- the payment of continuation of pay.
OWCP uses the information provided in the Official Supervisors Report section of the completed form to
determine timely submission of a claim. For a CA-1, OWCP will compare the date provided by the agency in
Item 23 (date notice received) with the date that the form is received in the appropriate district office.
For a CA-2, OWCP will compare the date provided in Item 26 (date employee first reported condition to supervisor)
with the date that the form is received in the appropriate district office, or the date the claimant signed the form,
whichever is later.
At the bottom of the Official Supervisors Report on
Form CA-1, Item 39 provides filing instructions according to the extent of
lost time and medical expense anticipated. The instructions indicate
whether the claim must be forwarded to OWCP or held at the agency because
none of the above criteria apply (no lost time and no medical expense or
first aid injury). The appropriate box must be checked at the time the
supervisor signs the form.
A claim that is initially kept in the employees medical folder and later incurs medical
expenses or lost wages must then be forwarded to OWCP. Agencies should
not change the indicated box in Item 39, however. A CA-1 received by OWCP
with the no lost time and no medical expense or first aid injury box
checked is excluded from reporting of agency timeliness statistics. This
policy prevents agencies from being penalized improperly for claims that
were appropriately kept onsite when initially filed.
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