Posted on January 16, 2013 in
You need to complete either form CA-1, “Federal Employee’s Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation” or form CA-2 “Notice of Occupational Disease and Claim for Compensation”. A traumatic injury is one that can be pinpointed to have occurred during one particular work shift – falling down the steps for example. An occupational disease is a medical condition that has developed due to work activities performed over more than one work shift.. 20 C.F.R. §§ 10.100-10.101. Both the CA-1 and the CA-2 are available for download from our site at http://www.dol.gov/regs/compliance/owcp/forms.htm.
If you are submitting a CA-2, you should also review the appropriate CA-35 "Evidence Required in Support of a Claim for Occupational Disease" form/checklist. There are several of these detailing the different sorts of documentation to be submitted depending on the type of occupational disease. They are all included in one document at the aforementioned site.
If you are still employed by the Federal agency where you worked when the injury occurred, submit the requested documentation to your employing agency. Be sure to keep a copy of everything for your records. Your agency will complete their portion of the CA-1 or CA-2 and submit the entire packet to the Office of Workers’ Compensation Programs (OWCP) district office. OWCP will advise you of the claim number which has been established. The district office will review the information submitted and will determine if there is sufficient information to adjudicate the claim. If there is insufficient information to adjudicate the claim, they will send you a letter advising of the additional information needed.
If you are no longer employed by the Federal government, you should submit the completed form to the Federal agency where you last worked when the injury or disease was sustained. If the agency no longer exists or you experience difficulties in submitting the form, you should contact your servicing OWCP district office for assistance. . District office jurisdiction is determined by where you live. A listing of the district offices is on line at http://www.dol.gov/owcp/contacts/fecacont.htm.