Content Last Revised: 2/14/75 ---DISCLAIMER---

CFR	Code of Federal Regulations Pertaining to ESA

Title 20

Employees' Benefits

Chapter I

Office of Workers' Compensation Programs, Department of Labor

Part 10

Claims for Compensation Under the Federal Employees' Compensation Act, As Amended

Subpart B

Filing Notices and Claims; Submitting Evidence

• Section Number: 10.116
• Section Name: What additional evidence is needed in cases based on occupational disease?

    (a) The employee must submit the specific detailed information 
described on Form CA-2 and on any checklist
(Form CA-35, A-H) provided by the employer. OWCP has developed these 
checklists to address particular occupational diseases. The medical 
report should also include the information specified on the checklist 
for the particular disease claimed.
    (b) The employer should submit the specific detailed information 
described on Form CA-2 and on any checklist pertaining to the claimed 
disease.