Form ACA Workers Comp Questionnaire NHCA Version 8 17 09
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People also ask
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Who submits the CA-16 form?
Form CA-16 - Authorization for Examination and/or Treatment. This form guarantees payment to the care provider if the employee requires medical treatment because of a work-related traumatic injury. Your supervisor should complete page 1 of Form CA-16 and provide it to you for your attending physicians information.
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Who is your treating physician?
Treating physician or "attending physician" means the licensed physician who has provided or is providing medical care to the injured employee.
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How long is a CA-16 good for?
○ Form CA-16 is valid for up to sixty days from date of issuance, and may be terminated earlier upon written notice from OWCP to the provider.
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Who fills out the CA 16 form?
If an employee requires medical treatment for a traumatic injury, supervisor should complete front of Form CA-16, within four hours of request whenever possible.
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How to file a workers' comp claim in NH?
Fill out an accident report (form 8aWCA) right away. You can get this form from the employer. Make sure to keep a copy for yourself. You have up to two years to report workplace injuries and illnesses, but it is best to report right away.
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Who is required to have workers' compensation insurance in California?
California law requires that employers, including those in the construction industry, carry workers' compensation insurance, even if they have only one employee. The insurance exists for employees who get hurt or sick because of work.
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