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Initial Report of Injury Instructions: Complete this form following an injury to provide general details on the incident so that Human Resources may authorize medical treatment and/or report the injury
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How to fill out form ca-16 - authorization
How to fill out form ca-16 - authorization
01
Obtain a copy of form CA-16 - authorization.
02
Fill out all required fields on the form, including your personal information and details about the medical treatment being authorized.
03
Sign and date the form to certify that the information provided is accurate and complete.
04
Submit the completed form to the appropriate party, such as your employer or the relevant medical provider.
Who needs form ca-16 - authorization?
01
Employees who have suffered a work-related injury or illness and require authorization for medical treatment.
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What is form ca-16 - authorization?
Form CA-16 is an authorization form used by federal employees to obtain medical treatment for work-related injuries under the Federal Employees' Compensation Act (FECA).
Who is required to file form ca-16 - authorization?
Form CA-16 must be filed by federal employees who have sustained a work-related injury and require medical treatment or services.
How to fill out form ca-16 - authorization?
To fill out Form CA-16, the employee should provide personal information, details about the injury, and information about the medical provider they wish to authorize. It is essential to complete all sections accurately and sign the form.
What is the purpose of form ca-16 - authorization?
The purpose of Form CA-16 is to provide authorization for medical treatment to be covered under the FECA for employees injured while performing their job duties.
What information must be reported on form ca-16 - authorization?
The information that must be reported on Form CA-16 includes the employee's name, address, social security number, job title, the date and nature of the injury, and the medical provider's details.
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