WC Claim Forms Department of Labor & Industry
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People also ask
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What is a CA 17 form used for?
`Fill out this form to apply for workers' compensation benefits because of a work injury or work-related illness. Type or print neatly. This form may also be filled out on-line at .wcb.ny.gov.
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What is a form CA-17?
Injured postal workers are required to fill in form CA-17, which is a form which outlines information from a doctor forbidding an injured federal employee from carrying out certain activities due to their inherently physically taxing nature.
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Who fills out a CA17 form?
This is a form that is supposed to be filled in by both your supervisor and your treating physician which lets the government know the extent of your injury or disability so they are not only aware of your limitations, but also what you can qualify for with regard to postal worker compensation.
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When to file CA7?
Form CA-7 should be submitted by an injured worker (IW) every two weeks while disabled and in a LWOP status, unless the IW has been placed on the periodic roll. For traumatic injury cases, Form CA-7 should be completed before the end of the COP period, if disability will continue.
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What is CA17?
Form CA-17 Suggestions. More Resources. It is recommended that you take a Form CA-17 - Duty Status Report with you to give to your physician. This form provides your supervisor and OWCP with interim medical reports containing information as to your ability to return to any type of work.
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