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First Injury Reporting FormCOMPLETE THIS FORM ELECTRONICALLY. PRINT USING THE PRINT BUTTON ABOVE. HAVE SUPERVISOR SIGN AND SUBMIT HARD COPY TO THE HUMAN RESOURCES DEPT. Employee Involved Job TitleEmployee

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How to fill out ca-1 traumatic injury claim

01

Seek medical attention immediately after the injury occurs.

02

Notify your supervisor or employer about the injury as soon as possible.

03

Obtain Form CA-1 from your employer or download it from the Department of Labor website.

04

Fill out all the necessary information on Form CA-1, including details about the injury, how it occurred, and any medical treatment received.

05

Submit the completed Form CA-1 to your supervisor or employer within 30 days of the injury.

Who needs ca-1 traumatic injury claim?

01

Any federal employee who has sustained a work-related traumatic injury and is seeking compensation for their medical expenses and lost wages.

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What is ca-1 traumatic injury claim?

Ca-1 traumatic injury claim is a form used by federal employees to claim benefits for work-related traumatic injuries.

Who is required to file ca-1 traumatic injury claim?

Federal employees who have sustained a traumatic injury while on duty are required to file a ca-1 traumatic injury claim.

How to fill out ca-1 traumatic injury claim?

Ca-1 traumatic injury claim can be filled out by providing details of the injury, how it occurred, medical treatment received, and other pertinent information.

What is the purpose of ca-1 traumatic injury claim?

The purpose of ca-1 traumatic injury claim is to seek benefits and compensation for federal employees who have suffered work-related traumatic injuries.

What information must be reported on ca-1 traumatic injury claim?

Information such as the nature of the injury, date and time of the injury, how it occurred, medical treatment received, and other relevant details must be reported on ca-1 traumatic injury claim.

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