What is a Ca-20 Form?
The CA-20 form, known as the “Attending Physician’s Report,” is a critical document used within the framework of the Federal Employees’ Compensation Act (FECA) in the United States. It is specifically designed for federal employees who have sustained work-related injuries or illnesses and is an essential part of the claims process for compensation.
Purpose
The primary purpose of the CA-20 form is to provide detailed medical information regarding the employee’s condition, treatment, and ability to work. This report is completed by the attending physician and serves as an official record to support the employee’s claim for benefits, including wage loss compensation and medical treatment.
Key Components
The CA-20 form includes several important sections:
- Patient Information: This section captures the employee’s personal details, including their name, Social Security number, and the date of the injury.
- Diagnosis: The physician must provide a clear diagnosis of the injury or illness, including any relevant medical codes that describe the condition.
- Treatment Plan: The attending physician outlines the treatment provided to the employee, detailing any medications, therapies, or surgeries that have been administered.
- Work Capacity: One of the most crucial aspects of the CA-20 is the physician’s assessment of the employee’s ability to return to work. The form includes a determination of whether the employee can resume their regular duties, work in a modified capacity, or is completely unable to work. This assessment directly impacts the employee’s compensation eligibility.
- Prognosis: The physician provides insights into the expected recovery timeline and any long-term implications of the injury or illness.
Submission and Importance
Once completed, the CA-20 form must be submitted to the appropriate agency, often in conjunction with other forms like the CA-1 (Federal Employee’s Notice of Traumatic Injury) or CA-2 (Notice of Occupational Disease). Timely submission of the CA-20 is crucial, as it significantly influences the processing of the employee’s claim and the determination of benefits.
Conclusion
The CA-20 form plays a vital role in the workers’ compensation process for federal employees. By offering detailed medical information and assessments from the attending physician, it helps establish the legitimacy of the claim and ensures that employees receive the necessary benefits for their recovery. Proper completion and submission of the CA-20 are essential for a smooth claims process, providing employees with the support they need during their healing journey.