Form CA-1 Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay / Compensation

What Is Form CA-1?

This is a legal form that was released by the U.S. Department of Labor - Office of Workers' Compensation Programs on October 1, 2018 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form CA-1?
A: Form CA-1 is a document used by federal employees to report a traumatic injury and file a claim for continuation of pay or compensation.

Q: Who is the intended audience for Form CA-1?
A: Form CA-1 is intended for federal employees who have suffered a traumatic injury while on the job.

Q: What is the purpose of Form CA-1?
A: The purpose of Form CA-1 is to notify the employer of a federal employee's traumatic injury and to initiate a claim for continuation of pay or compensation.

Q: When should a federal employee use Form CA-1?
A: A federal employee should use Form CA-1 as soon as possible after sustaining a traumatic injury on the job.

Q: What information is required on Form CA-1?
A: Form CA-1 requires information about the employee, details of the injury, and medical treatment received.

Q: What should I do after completing Form CA-1?
A: After completing Form CA-1, the employee should submit it to their supervisor and keep a copy for their own records.

Q: Is Form CA-1 confidential?
A: Yes, the information provided on Form CA-1 is confidential and protected by privacy laws.

Q: What happens after Form CA-1 is submitted?
A: After Form CA-1 is submitted, the employee's claim for continuation of pay or compensation will be reviewed by the appropriate authorities.