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CA-7 Claim for Compensation. Form CA-7 is filed to claim wage loss compensation. The first CA-7 is usually submitted to request wage loss payments when the injured worker is unable to return to work. If during this time frame you realize you will not be returning to work at the end of the 45 days, you should file a Form CA-7 requesting wage loss compensation from OWCP for lost work time.

Remember, Continuation Of Pay COP is not paid in an Occupational Disease claim, so you will not be paid until your claim is accepted — which can take weeks, months, or even longer. Form CA-7 is used when requesting payment of a Schedule Award.

Form CA is a controlled document because it authorizes payment for medical treatment needed to care for a traumatic injury. If you do, and try to use it for medical treatment, or improperly sign [falsify the signature] on a Form CA you can go to jail. This is one of the first OWCP documents your doctor will be asked to complete.

The left side, Side A, is completed by your supervisor, who should enter your usual work requirements as requested by Section 7 on that form. Your supervisor should accurately describe the physical activities and environmental characteristics of your job. This description should conform to your official job description, and the actual circumstances under which you perform you job.

You should review this side for accuracy, as supervisors have been known to make mistakes when completing Side A of this form. Obviously, Side B is completed by your treating physician, after she has reviewed Side A and examined you, and reviewed any diagnostic testing completed to better diagnose your medical condition.

If your doctor believes you are not able to perform the activities he should complete Side B delineating the work activities you can perform. Every time your physician examines you, she should complete another Form CA documenting any changes in your condition, diagnosis, restrictions or limitations. Climbing: Ascending or descending ladders, stairs, scaffolding, ramps, poles, and the like, using feet and legs or hands and arms.

Body agility is emphasized. Reaching: Extending hand s and arm s in any direction, including overhead reaching or reaching above the shoulder. Repetitive movements of elbows handling : Seizing, holding, grasping, turning, or otherwise working with hand or hands using the whole arm.

Repetitive movements of wrists fingering : Picking, pinching, or otherwise working primarily with fingers and wrists rather than the whole arm as in handling. Twisting: Turning, twisting, contorting, or flexing the torso in any direction towards the right or left. Of special note, Item 8 of this form asks if the physician believes the diagnosed condition was caused or aggravated by your employment activity.

The CA requests more detailed information than Form CA about any hospitalization you may have undergone, as well as a more detailed discussion of your partial or total disability. When coupled with the Form CA, your doctor can explain his examination of you, discuss his clinical and diagnostic findings regarding your medical condition, explain the causal connection between the injury event and diagnosed condition while providing OWCP and your employing agency with restrictions and limitations when you are able to return to work.

You can draw your own conclusions. I have found claims examiners, senior claims examiners and supervisors with great variations in how they handle claims. Some have been as straightforward and candid as anyone you could want to work with. And if I did receive a denial from that claims examiner, her decision always stated what evidence was lacking — if you know how to read the decision denying the claim. In turn, our appeal needed to address that missing or weak evidence. In fact, the man who first explained this system to me, who was above the supervisory level, once said that he sometimes looked for the intent of the claimant when deciding a case.

This was an extraordinary result in an extraordinary set of circumstances. I was injured at work in Oakland. Unfortunately I spent some time in the hospital and out of work. Alex quickly got me the compensation I needed. I completely trusted his guidance. Call Us: Alex Bonilla Workers' Compensation Attorney. Why Hire Us? Get Started.

Medical Care We will work to get you the medical treatment you need. Temporary Disability Alex Bonilla will ensure you receive temporary disability benefits if you are unable to work due to your injury. Smaller businesses or corporations usually buy workers' compensation insurance. The business pays a premium, and the insurance company pays for the benefits provided when a worker sustains a work injury.

San Francisco, like most municipalities and many larger corporations, is self-insured for workers' compensation. This means that we do not pay an insurance company to cover our workers' compensation costs. These costs come out of the City's budget. In fact, the cost of workers' compensation claims are charged back to the annual budget of the department where the employee worked at the time of the injury. Skip to main content. You are here Home Employees Workers' Compensation.

Workers' Compensation. Overview of Workers' Compensation Workers' Compensation is a state-mandated benefit for workers injured on the job.