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Universal Enrollment Form Medical For PT Faculty w/o REP and Temporary Classified Participants FOR OFFICE USE ONLY: Plan Type Plan Code Coverage Code Effective Date Medical Regional Code:Region 1
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How to fill out feca part 5

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How to fill out feca part 5

01
To fill out FECA Part 5, follow these steps:
02
Obtain the necessary form: You can download FECA Part 5 (Claim for Continuation of Pay/Compensation) from the official website of the Office of Workers' Compensation Programs (OWCP).
03
Provide personal information: Fill out your personal details, including your full name, contact information, and Social Security number.
04
Document employment information: Specify your employing agency, job title, pay rate, and other relevant employment details.
05
Describe the injury/illness: Explain the nature of the injury or illness that occurred in connection with your employment.
06
Provide medical treatment information: Indicate the medical treatment you have received for your condition, including the names of healthcare providers and dates of treatment.
07
Complete the employment/pay section: Document any employment or pay changes that have occurred since you last submitted FECA forms.
08
Sign and date the form: Once you have filled out all the necessary information, sign and date the form.
09
Submit the form: Send the completed FECA Part 5 form to the appropriate address provided on the form or as instructed by OWCP.
10
It is recommended to review the instructions and guidelines provided by the OWCP to ensure accurate and complete filling out of FECA Part 5.

Who needs feca part 5?

01
FECA Part 5 is needed by federal employees who have suffered a work-related injury or illness and are seeking continuation of pay or compensation. It is specifically required for the purposes of filing a claim for continuation of pay under the Federal Employees' Compensation Act (FECA).
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FECA Part 5 is a section of the Federal Employees' Compensation Act that deals with the reporting of wage information.
All federal agencies are required to file FECA Part 5.
FECA Part 5 can be filled out electronically through the Department of Labor's website.
The purpose of FECA Part 5 is to report wage information for federal employees who are receiving compensation under the Federal Employees' Compensation Act.
Information such as the employee's name, social security number, wage rate, hours worked, and any deductions must be reported on FECA Part 5.
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