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Dol 421 Form

Dol 421 Form

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Instructions and help about 421 form printable

hi this is Michael Duvall and I'm back again to talk about forms and this time I'm talking about the ca 20 which is the attending physicians report the CA 20 provides medical support for claims and is attached to the CA 7 which provides the IC co as well as the OWCP with medical information the CA 20 was initially issued by the supervisor at the time of injury when the CA 16 is not used and when the injury is not a first-aid injury treated by contact of a medical provider so subsequent issues are the same as for the CA 17 the CA 20 must be submitted promptly to OWCP and upon completion must of your most recent examination or treatment by the physician there is also a CA 20 a which is the physician supplemental report and it provides the OWCP with additional medical information in connection with a supplemental claim filed on the attached CA 8 if there is a corresponding CA 8 all of these forms are good to know about just so that you can make sure as the patient or the employee that all

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