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Content Last Revised: 12/23/98 |
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Code of Federal Regulations Pertaining to ESA |
| Employees' Benefits |
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| Office of Workers' Compensation Programs, Department of Labor |
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| Claims for Compensation Under the Federal Employees' Compensation Act, As Amended |
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| Filing Notices and Claims; Submitting Evidence |
20 CFR 10.102 - How and when is a claim for wage loss compensation filed?
- Section Number: 10.102
- Section Name: How and when is a claim for wage loss compensation filed?
(a) Form CA-7 is used to claim compensation for periods of
disability not covered by COP.
(1) An employee who is disabled with loss of pay for more than three
calendar days due to an injury, or someone acting on his or her behalf,
must file Form CA-7 before compensation can be paid.
(2) The employee shall complete the front of Form CA-7 and submit
the form to the employer for completion and transmission to OWCP. The
form should be completed as soon as possible, but no more than 14
calendar days after the date pay stops due to the injury or disease.
(3) The requirements for filing claims are further described in 5
U.S.C. 8121.
(b) Additional Forms CA-7 are used to claim compensation for
additional periods of disability after the first Form CA-7 is submitted
to OWCP.
(1) It is the employee's responsibility to submit Form CA-7. Without
receipt of such claim, OWCP has no knowledge of continuing wage loss.
Therefore, while disability continues, the employee should submit a
claim on Form CA-7 each two weeks until otherwise instructed by OWCP.
(2) The employee shall complete the front of Form CA-7 and submit
the form to the employer for completion and transmission to OWCP.
(3) The employee is responsible for submitting, or arranging for the
submittal of, medical evidence to OWCP which establishes both that
disability continues and that the disability is due to the work-related
injury. Form CA-20 is attached to Form CA-7 for this purpose.
[63 FR 65306, Nov. 25, 1998; 63 FR 71202, Dec. 23, 1998]
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