This version of the form is not currently in use and is provided for reference only. Download this version of Form CA-1 for the current year.
This is a legal form that was released by the U.S. Department of Labor on January 1, 2013 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form CA-1?
A: Form CA-1 is a document used by federal employees to report a traumatic injury that occurred while on the job and to file for continuation of pay or compensation.
Q: Who uses Form CA-1?
A: Form CA-1 is used by federal employees who have suffered a traumatic injury while working for the federal government.
Q: What is the purpose of Form CA-1?
A: The purpose of Form CA-1 is to report a traumatic injury and initiate a claim for continuation of pay or compensation for federal employees.
Q: When should Form CA-1 be filled out?
A: Form CA-1 should be filled out as soon as possible after a traumatic injury occurs while on the job.
Q: How should I fill out Form CA-1?
A: You should provide accurate and detailed information about the traumatic injury, including when and how it occurred, as well as your personal and contact information.
Q: What should I do after filling out Form CA-1?
A: After filling out Form CA-1, you should submit it to your federal agency's human resources department for processing.
Q: What happens after submitting Form CA-1?
A: After submitting Form CA-1, your federal agency will review the information and determine your eligibility for continuation of pay or compensation based on the reported traumatic injury.
Q: Can I appeal a decision made on my Form CA-1 claim?
A: Yes, if you disagree with the decision made on your Form CA-1 claim, you have the right to appeal the decision.
Q: Is there a deadline to file Form CA-1?
A: Yes, Form CA-1 must be filed within 30 days of the traumatic injury or within 30 days of becoming aware of a latent condition caused by the injury.
Form Details:
Download a fillable version of Form CA-1 by clicking the link below or browse more documents and templates provided by the U.S. Department of Labor.