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Limited Function Referral Office (AFRO) Certification Form Designated REALTORS: Please complete the following and return to the association office no later than. In accordance with Article IX, Section
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How to fill out feca part 3
How to fill out feca part 3
01
To fill out FECA Part 3, follow these steps:
02
Start by entering your personal information, such as your name, address, and contact details.
03
Provide details about your employment history, including your current or former agency, job title, dates of employment, and salary information.
04
Fill in the information regarding the injury or illness for which you are seeking compensation. This includes the date, time, and location of the incident, as well as a detailed description of what happened.
05
If you received any medical treatment related to the injury or illness, provide the name and address of the medical provider, along with the dates of treatment and a summary of the services received.
06
Indicate whether you were on official travel or performing official duties at the time of the incident.
07
If there were any witnesses to the incident, include their names, contact information, and a brief statement about what they witnessed.
08
Sign and date the form, and make sure to include any supporting documents or attachments as necessary.
09
It is important to carefully review the instructions provided with the form to ensure all required fields are completed accurately.
Who needs feca part 3?
01
FECA Part 3 is needed by federal employees who have suffered a work-related injury or illness and are seeking compensation under the Federal Employees' Compensation Act (FECA).
02
This form allows eligible employees to provide detailed information about their injury or illness and the circumstances surrounding it, which is necessary for the claims process to proceed.
03
By filling out FECA Part 3, employees can initiate the process of seeking compensation for medical expenses, lost wages, and other benefits provided under FECA.
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What is feca part 3?
FECA Part 3 refers to the Federal Employees' Compensation Act Part 3, which is a form used to report the wages earned by the injured federal employee while on workers' compensation.
Who is required to file feca part 3?
The employing agency of the injured federal employee is required to file FECA Part 3.
How to fill out feca part 3?
FECA Part 3 can be filled out by providing the injured employee's name, social security number, dates of compensation, gross wages earned, and other relevant information.
What is the purpose of feca part 3?
The purpose of FECA Part 3 is to report the wages earned by the injured federal employee while on workers' compensation in order to determine the proper compensation benefits.
What information must be reported on feca part 3?
Information such as the injured employee's name, social security number, dates of compensation, gross wages earned, and other relevant details must be reported on FECA Part 3.
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