WebCA2a - Notice of Recurrence. CA7 - Claim for Compensation. CA7a - Time Analysis Form. CA7b - Leave Buy Back. CA10 - What a Federal Employee Should Do When Injured at Work. … WebDuty Status Report This form is provided for the purpose of obtaining a duty status report for the employee named below. This request does not constitute authorization for payment of medical expense by the Department of Labor, nor does it invalidate any previous …
Chapter 1: The Guide to Processing Personnel Actions
WebFeb 24, 2024 · CA-17 Duty Status Report Federal Employees' Compensation Act Medical Reports and Compensation Claims ca-17 FECA Medical Report Forms, Claim for Compensation OMB: 1240-0046 OMB.report DOL/OWCP OMB 1240-0046 ICR 202402-1240-018 IC 13770 CA-17 Duty Status Report ( ) ⚠️ Notice: This form may be outdated. WebU.S. Department of Labor Office of Workers' Compensation Programs Work Capacity Evaluation Musculoskeletal Conditions Injured Worker's Name ( First, middle, last ) OWCP No. OMB No: 1240-0046 Expires: 05/31/2024 Please answer the questions below concerning your patient (named above) for whom the Office of Workers' Compensation can i call canada with magic jack
Forms U.S. Department of Labor - DOL
WebWorkers' Compensation Program Forms. CA-1 - Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation. CA-2 - Federal Employee's Notice of Occupational Disease and Claim for Compensation. CA-2a - Notice of Recurrence. CA-17 - Duty Status Report. U.S. Department of Labor (DOL) Forms Library. WebDuty Status Report This form is provided for the purpose of obtaining a duty status report for the employee named below. This request does not constitute authorization for payment of medical expense by the Department of Labor, nor does it invalidate any previous authorization issued in this case. WebJun 9, 2015 · “An employee may be immediately placed in an off-duty status (without pay) by the Employer, but remain on the rolls where the allegation involves intoxication (use of drugs or alcohol), pilferage, or failure to observe safety rules and regulations, or in cases where retaining the employee on duty may can i call canada with t mobile