CA-20 Form PDF Details

The CA-20 form (Attending Physician's Report) is a required document in the federal workers' compensation system administered by OWCP. Physicians treating injured federal employees must complete and submit this form to support the claim review process.

Who Completes the CA-20 Form?

A licensed physician who examined the injured federal employee fills out the CA-20. The treating doctor certifies injury details, the diagnosis, and the proposed treatment plan. Specialists who provided care during referral may also be required to submit a CA-20 for their portion of the treatment.

What the CA-20 Form Covers

The Attending Physician's Report captures the medical information needed to process a workers' compensation claim:

How to Submit the CA-20

After completing the form, the physician submits it directly to the OWCP claims office handling the case. A copy should be retained in the physician's records. The employee does not submit the CA-20 directly. Timely and accurate submission is important for prompt claim processing and uninterrupted benefit payments.

QuestionAnswer
Form NameCA-20 Form
Form Length3 pages
Fillable?No
Fillable fields0
Avg. time to fill out45 sec
Issuing AgencyU.S. Department of Labor (OWCP)
Who Completes ItAttending physician
Other namesattending physician report, ca20 pdf, attending report, labor ca 20

Please rate Ca 20

1 Votes
If you believe this page is infringing on your copyright, please familiarize yourself with and follow our DMCA notice and takedown process - click here to proceed .