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This is a PDF form for reporting the duty status of an injured employee to the Office of Workers' Compensation Programs (OWCP). It requires information from the supervisor, the physician, and the employee, and has instructions for completing and submitting the form.
Form CA-17 is used to report the duty status of an employee who has been injured or killed on the job. It is one of the forms available online for printing or filling electronically on the OWCP website.
The CA-17 is a form that describes the physical work requirements of letter carriers and their medical restrictions. Learn how to review and correct the supervisor's section of the CA-17 before giving it to your doctor.
This form is used to obtain or retain a benefit for an employee who has a work-related injury or illness. It requires information from the supervisor, the physician, and the employee, and must be returned to the employing agency and the OWCP office within 2 days.
1 Οκτ 2020 · When a letter carrier reports an on-the-job injury, the Postal Service has an obligation to provide forms necessary to file the claim (CA-1, CA-2), receive medical treatment (CA-16) and inform the treating physician of the letter carrier’s work duties (CA-17).
3 Ιουλ 2017 · While many doctors have their own forms for describing work restrictions, compensably injured workers should provide their doctors with a properly filled out OWCP Form CA-17, Duty Status Report.”
Form CA-17 For common positions in EA, have a pre-prepared CA-17 with the left side completed for the injured worker to provide to their physician. On Form CA-17, the EA should indicate light duty work is available.
