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| FECA BULLETIN NO.
99-18 Issue Date: December 24, 1998 ___________________________________________________________________ Expiration Date: December 23, 1999 ___________________________________________________________________ Subject: Forms - Revised Form CA-7, "Claim for Compensation" Background: One of the tasks of the ACPS reinvention team was to redesign Form CA-7. Extensive input was solicited and received from Federal employing agencies and OWCP field offices. A draft revised form was piloted in two district offices. Field offices submitted comments on the draft revised form. Based on further input, additional changes were made. The revised form has now been cleared by OMB and is ready for use. The new form is different in several respects. It combines Forms CA-7 and CA-8, so that the Form CA-8 is now obsolete (along with Form CA-20a). Sections of the form are optional for continuing claims. The language and format have been simplified as much as possible. The claimant's portion includes a section for showing clearly what is being claimed (compensation for leave without pay, leave buy back, or schedule award). The claimant is instructed to submit a Form SF-1199A, "Direct Deposit Sign-Up" in addition to the CA-7. The pay rate and schedule sections have been altered to solicit more accurate information. The COP/leave sections on the employer's portion have been revised, and a Form CA-7a, "Time Analysis Sheet" is requested if COP or leave is intermittent. The return to work section was changed, and a section for comments was added. Reference: FECA Procedure Manual, Chapter 2-0401.12. Purpose: To notify all employees of the existence of a new Form CA-7, and provide revised procedures for handling the forms. Applicability: All staff. Actions: 1. Effective immediately, the revised Form CA-7 (copy attached), dated November 1998, replaces all prior versions of Forms CA-7 and CA-8. 2. In Section 4 of the revised form, the claimant is supposed to indicate whether the CA-7 is the first CA-7 filed for the injury in question or not. For purposes of TPCUP tracking, until changes are made to the TPCUP program, if the response in Section 4 is "Yes," the form will be tracked as a CA-7. If the response in Section 4 is "No," the form will be tracked as a CA-8. If there is no response in Section 4, the form should be tracked as a CA-7. 3. A supply of the new CA-7 has been ordered for each office. Upon receipt of the new form, all previous forms of the CA-7 and CA-8 must be discarded, as they are obsolete. 4. In all communications and training, employing agencies should be informed that the new CA-7 is to be used. However, older versions of the CA-7 and the CA-8 will continue to be accepted by the district offices if received. 5. The new CA-7 will be available to employing agencies through the Government Printing Office, stock number 029-016-00132-8, revision date November 1998. Disposition: Retain until incorporated in the Federal (FECA) Procedure Manual. THOMAS M. MARKEY Director for Federal Employees' Compensation Distribution: List No. 3--Folioviews Groups A, B, C, and D (All FECA Employees) |
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