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CA-20 - Attending Physician's Report

CA-20 - Attending Physician's Report

www.npmhul310.org

HBK EL-505, INJURY COMPENSATION, DECEMBER 1995 FORMS 451 OWCP Form CA-20 Instructions Attending Physician’s Report Summary Purpose Medical report to support an injury or illness claim. May be used in occupational

  Form, Report, Physician, Attending, Ca 20, Form ca 20, Attending physician s report

Attending Physician's Report U.S. Department of Labor …

Attending Physician's Report U.S. Department of Labor …

www.dol.gov

CA-1, the employee should detach Form CA-20 and complete items 1-3 on the front. The form should be promptly referred to the attending physician for early completion. If the claim is for occupational disease, filed on Form CA-2, a medical report as described in the instructions accompanying that form is required in most cases.

  Report, Physician, Attending, Ca 20, Attending physician s report

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