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Instructions and help about Concentra Authorization Form

in this video we're going to be covering how to fill out your CA one form or as it says here federal employees notice of traumatic injury and claim for continuation of pay slash compensation this form is actually not too hard to fill out not a lot of people have problems filling this out there's nothing really tricky on here so let's go ahead and jump right in we'll get right to it employee data this is the easiest portion of the form to fill out because it's everything you already know your name would go here it does ask for your last name first so your last name would go first then your first name then middle initial over here you put your social security number in which is also very easy date of birth gender checkoff male or female home phone one question that people ask me frequently is I don't have a home phone what would I put here well just go ahead and use the number that they'll most likely be able to contact you on very easily in other words a cell phone is fine in box six gr

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