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Ca-16 2023 Form: What You Should Know
Form CA. 13, Medical Certification. In lieu of the form Cited, a doctor or technician may report to OCP that he or she believes an employee has a traumatic injury and believes it to be severe. The doctor or technician must be a member of an approved program of the United States (or its equivalent) or a program of an equivalent in a foreign country, have demonstrated competency in medical diagnosis and treatment and have completed a course similar to Title 4, National Occupational Code of Practice of the Joint Committee on Occupational and Public Health of the Department of Labor. If OCP has been notified that the employee will be released under the provisions of the Rehabilitation Act of 1973 (29 U.S.C. 794) when physically capable, the employee shall be released only if the employee complies with all provisions of 28 C.F.R. Part 478.7(e). This form is not available for employees of Federal agencies except that OCP is authorized to accept forms prepared by hospitals, universities, and other educational institutions for inclusion in these forms. Forms | U.S. Department of Labor OCP's Federal Employees Program has made a variety of forms available online. CA-16. Authorization for Examination and/Or Treatment. This form is only Authorizing Medical Examination and Medical Treatment by a Physician — U.S. Department of Labor Cited by 16. Determining if an employee is physically capable for service during the period of partial disability. 18. Determining if an employee is physically capable of performing duties during the period of total disability. CA-16. Authorization for Examination and/or Treatment. This form is only Authorizing Medical Examination and/or Medical Treatment by a Physician — U.S. Department of Labor. This form must be signed by the physician (or surgeon) and any medical staff. Forms | U.S. Department of Labor OCP's Federal Employees Program has made a variety of forms available online. Form A-15, Physical Fitness Test. This form is only attending physician's report — U.S.
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