DOL Form CA-20

View OWCP-DFEC's Form CA-20 Online htm

Agency:

OWCP-DFEC

Title:

DFEC CA-20, Attending Physician's Report

Form Description:

DFEC CA-20, Attending Physician's Report: This medical report is required before payment of compensation for loss of wages or permanent disability can be made to the injured employee. This information is required to obtain or retain a benefit.

OMB Control Number:

1215-0103