immediately authorize examination and appropriate medical care by use of Form CA-16 to either a United States medical officer/hospital or any duly qualified physician/hospital of the employee’s choice.
Forms | U.S. Department of Labor
CA-16: Authorization for Examination and/or Treatment. This form is only available to authorized employing agency personnel, and may be obtained in electronic format via the Agency Query System (AQS) or ECOMP, or by contacting the employing agency workers’ compensation personnel. CA-17* Duty Status Report: CA-17 (En Español)* Informe de ...
CA-16. • When there is no time to complete Form CA-16, supervisor may authorize medical treatment by telephone and send completed form to medical facility within 48 hours. [Retroactive issuance of Form CA- 16 is usually not permitted under other circumstances.]
ca 16 Authorization for Examination and or Treatment. The following request for information is required under (5 USC 8101 et. seq.). Benefits and/or medical services expenses may not be paid or may be subject to suspension under this program unless …
immediately authorize examination and appropriate medical care by use of Form CA-16 issued to either a United States medical office or hospital or any duly qualified physician/ hospital of the employee's choice.
ca-16 Authorization for Examination and/or Treatment
The supervisor shall immediately authorize examination and appropriate medical care by use of Form CA-16 issued to either a United States medical office or hospital or any duly qualified physician/ hospital of the employee's choice.
Purpose Authorization for an employee to obtain medical care or treatment from a doctor or medical facility of his or her choice following an injury or illness.
Form CA-16 This form was electronically produced by National Production Services Staff Rev. Oct. 1988
Form CA-16 to the medical officer or physician. If issued for illness or disease, a copy must also be sent to OWCP. See 20 CFR and/or Chapter 810, Federal Personnel Manual (FPM). Information for...
Doc Explains Fed Work Comp (CA-16) - Ellis Clinic
Form CA-16 guarantees payment to the original treating physician for 60 days from date of issuance (unless OWCP terminates this authority at an earlier date). The basic rules for authorizing emergency medical care are: The employer shall issue Form CA-16 within 4 hours of the claimed injury.