INSTRUCTIONS FOR COMPLETING DUTY STATUS REPORT (CA-17) SUPERVISOR: Complete Side A and refer the form to the physician to complete Side B. Fill in the address of …

Submit forms online through the Employees' Compensation Operations and Management Portal (ECOMP). On the ECOMP site you can register for an account, initiate a claim, upload …

CA17 - Duty Status Report . CA20 - Attending Physicians Report . CA35 - Evidence Required in Support of Claim for Occupational Disease . ... TSA Employees Veterans Affairs (VA) Dept. of …

Form CA-17 - Duty Status Report: This form is provided for purpose of obtaining a medical duty status report for IW. It may be issued initially with Form CA-16. Supervisor/Employing Agency …

Your supervisor will complete the supervisory component of Form CA-17, Duty Status Report, and will give it to you to provide to your doctor for completion of the medical component of the form …

employee sustained a traumatic injury and is disabled for work, reports on Form CA 17, “Duty Status Report” may be required by the employing agency during the first 45 days of disability. …

instructions for completing duty status report (ca-17) Complete Side A and refer the form to the physician to complete Side B. Fill in the address of the Employing Agency and the appropriate …

The CA-17 is a legal document that determines both an injured worker’s medical restrictions and entitlement to wage-loss compensation benefits. When completed, the CA-17 contains …

2020年10月1日 · The CA-17 was designed to provide the doctor with an accurate description of the physical work requirements of the injured letter carrier. The CA-17 is a legal document that …

INSTRUCTIONS FOR COMPLETING DUTY STATUS REPORT (CA-17). Complete Side A and refer the form to the physician to complete Side B. Learn more