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(3) Mail and File staff will notify the claimant, the employing agency, and other interested parties of the transfer; change the location code to reflect the transfer; and send the file by certified mail to the requesting office. d Procedures for Loan. Cases docketed by the ECAB or requested by H&R are requested over the automated system, and the box labeled "ADP" in Item 9 of Form CA-58 should be checked. Other requests may be made verbally, by e-mail, or by Form CA-58. (1) The reason for the loan and the name of the requestor should be stated in Items 8-9 on Form CA-58. (2) Cases should be mailed to 200 Constitution Avenue N.W., Room N-4421, Washington, D.C. 20210. Use of this address will ensure that the cases are routed through the NO database. (3) The electronic records should always be sent for cases requested by the ECAB or H&R. They will not include the health insurance enrollment and/or the DMS record, if any. These records will remain in the DO. e Receipt of File. When the file arrives in the requesting DO, Mail Room staff will log the case into the database and send it, with Form CA-58 attached, to the person who requested it. (1) Transfer. If the file will remain permanently at the requesting DO, the CE must ensure that case file information, such as mailing and check addresses, is correctly recorded in the ACPS and CMF before filing down Form CA-58. (2) Loan. Cases on loan should be returned as soon as possible. If necessary, material from the borrowed file may be photocopied. f. Transferring Mail. Mail always follows the case file, even when the file has been loaned temporarily to another office. All such mail will be collected in the Mail Room and sent to the various owning DOs on a daily basis.
2-0401 AUTOMATED SYSTEM SUPPORT FOR CASE ACTIONS TABLE OF CONTENTS Paragraph and Subject Date Trans. No. Table of Contents* 01/01 09/09 1. Purpose and Scope 01/98 09/09 2. Responsibilities 06/92 09/09 3. System Components 06/92 09/09 01-03 09-06 98-04 09-06 92-26 09-06 92-26 09-06 4. System Capabilities 06/92 92-26 06/94 09/09 5. Status Changes 06/92 09/09 6. Definitions of Adjudication Status Codes 06/92 09/09 7. Definitions of Pay Status Codes 12/97 09/09 94-26 09-06 92-26 09-06 92-26 09-06 98-03 09-06 8. Assignment of Status Codes 06/92 92-26 12/97 09/09 9. Inquiries 06/92 09/09 10. ICD-9 Codes 06/96 09/09 *(ENTIRE CHAPTER REISSUED 09/09, TRANSMITTAL 09-06) 98-03 09-06 92-26 09-06 96-22 09-06 2-0401-1 Purpose and Scope 1. Purpose and Scope. This chapter describes the Federal Employees’ Case Management System insofar as it records and supports Claims Examiners’ (CEs’) actions and outlines their responsibilities for maintaining an accurate data base and managing a case load using the automated system. The Disability Tracking System is addressed in FECA PM 2-0601. 2-0401-2 Responsibilities
Page 1 and 2: LIST OF CHAPTERS PART 2 - CLAIMS (I
Page 3 and 4: eference materials, decisions, and
Page 5 and 6: d. Continuation of Pay. An employee
Page 7 and 8: o. Review of OWCP Decisions. Under
Page 10 and 11: 2-0300 COMMUNICATIONS TABLE OF CONT
Page 12 and 13: 2-0300-4 Regular Correspondence 4.R
Page 14 and 15: (1) Format. All letters should be p
Page 16 and 17: If the information requested cannot
Page 18 and 19: few types of cases are developed in
Page 20 and 21: c Filing Down. After reviewing or c
Page 22 and 23: the automated system (see FECA PM 2
Page 24 and 25: i. Advising the Parties. When case
Page 28 and 29: 2. Responsibilities. The CE has pri
Page 30 and 31: DO: Disallowed pending. D1: Denied
Page 32 and 33: through the system will be given at
Page 34 and 35: (1) Daily Roll. The codes for daily
Page 36 and 37: een issued. The pay status is UD. D
Page 38 and 39: 1. Worksheet for Investigation of F
Page 40 and 41: medical services received should be
Page 42 and 43: c. After Assignment for Investigati
Page 44 and 45: outside of ESA, whether a private c
Page 46 and 47: materials.
Page 48 and 49: 2-0500 CONFERENCES TABLE OF CONTENT
Page 50 and 51: (4) A formal follow-up or comment p
Page 52 and 53: e. Describe each party’s position
Page 54 and 55: 12. Conferences 13. Intervention St
Page 56 and 57: 2-600-2 Introduction 2. Introductio
Page 58 and 59: Authorizing medical treatment. Auth
Page 60 and 61: 2-600-4 Case Adjudication 4. Case A
Page 62 and 63: 2-600-6 Customer Service and Commun
Page 64 and 65: medical issues. In addition, the cl
Page 66 and 67: If the surgery is authorized, the C
Page 68 and 69: address for submission of reports a
Page 70 and 71: If the CN closes the case and the c
Page 72 and 73: ��Assist in work
Page 74 and 75: permissible. The process for extend
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2-600-9 Vocational Rehabilitation S
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expected after completion of the pr
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2-600-10 Employing Agency Intervent
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2-600-11 Claimant Intervention 11.
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2-600-12 Conferences 12. Conference
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2-600-13 Intervention Strategies an
Page 88 and 89:
the various options, the CE needs t
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c. Return to modified work, with or
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2-0601 Disability Management Tracki
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a. Return to Work. Returning the cl
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(2) COP Nurse Closure. In traumatic
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further entitlement to compensation
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esumes, the DM record should be reo
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DM Tracking, the status code TCQ is
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(2) RHI (Rehabilitation Plan in Pla
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specifics of the RTW, the RS enters
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codes should only be used if a FN o
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actually close out the DM record on
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(not CNC) so that the case continue
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new work stoppage should be reflect
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2-0700 DEATH CLAIMS TABLE OF CONTEN
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2-0700-1 Purpose and Scope 1. Purpo
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c. Notice to Survivors of Right to
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(a) Four-weekly and monthly compens
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(3) If the parties lived apart for
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(3) If the child does not begin pos
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Compensation was terminated effecti
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. Dependency Criteria. The test of
Page 132 and 133:
(3) Proof of physical or mental inc
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parents would not be harmful). d. D
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payment regardless of whether the d
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2-0700-17 Periodic Roll Review 17.
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(2) If extenuating circumstances ex
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2-0800-21 FECA Death Gratuity 21. F
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2-0800 INITIAL DEVELOPMENT OF CLAIM
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not clearly identified, or the rela
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claim to the correct type and notif
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official duties (or an activity inc
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. Developing the Case. Development
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since expeditious treatment for the
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(a) The employing agency should be
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(4) The agency challenges the claim
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evidence. In general, medical repor
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Example: “You have opined that th
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(2) Cardiac and psychiatric conditi
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Exhibit 1: Nature of Injury Codes (
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V9 Virological/Infective/Parasitic,
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notice of injury or death any writt
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immediate superior had actual knowl
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(4) If a claim is not received by O
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(1) Disappearance During a Period o
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2-0802 CIVIL EMPLOYEE TABLE OF CONT
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2-0802-4 Proof that the Injured/Dec
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. Proof of Status. Any material dis
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2-0802-10 Volunteer Workers with th
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2-0802-15 Employees of the U.S. Pro
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2-0802-18 Cadets at State Maritime
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2-0802-22 Participants in Community
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2-0802-27 Student Volunteers, Inter
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2-0802-32 Federal Emergency Managem
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Establishing whether an injury, tra
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2-0803-5 Development of Medical Evi
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1. Purpose and Scope. This chapter
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(2) In disability cases an explanat
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(3) Workers having a fixed place of
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employment, who are injured while o
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is receiving transportation service
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and should show how they acquired t
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(2) Whether other employees were re
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Whether a fall at work is idiopathi
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performance of duty." Thus, under t
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(3) States how, when, and how often
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2-0804-14 Statutory Exclusions 14.
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2-0804-14 Statutory Exclusions (con
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(2) The official superior should al
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c. Development. (1) It is the CE's
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d. OWCP Policy. Employees performin
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However, the case of Brenda Getz, 3
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discussion with his supervisor conc
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ecause the employee's cardiac arres
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appellant attributes his emotional
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something the employee did while on
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j. Developing Factors of Employment
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When it has been determined that on
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2-0804-19 Deleterious Effects of Me
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Paragraph and Subject 2-0805 CAUSAL
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(1) Temporary aggravation involves
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(2) If examination or treatment was
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(6) Certain other kinds of cases re
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(2) A nurse becomes disabled by pul
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which includes an opinion concernin
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Chapter 2-0806, Initial Acceptances
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sent to the employing agency, and t
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The following sample language may b
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condition. When the claimant's inab
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period immediately following a job-
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2-0807-5 Employee Status 5. Employe
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c. End of Period. The claimant's en
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OWCP requires. g. Claim Forms. The
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2-0807-11 Regular Pay 11. Regular P
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2-0807-12 Delayed Disability 12. De
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(c) Census Enumerators--the date on
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2-0807-15 Relationships Between Lea
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(b) If the refusal is not found to
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d. Period of Payment. To determine
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2-0808 SCHEDULE AWARDS & PERMANENT
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and the opinion of the District Med
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those indicated in the FECA. See 5
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2-0808-7 Payment of Schedule Awards
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later date which is due to work-rel
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2-0809 STATEMENTS OF ACCEPTED FACTS
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elationship is not an issue would n
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For some types of claims, such as h
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modifications.) d. SOAF Footer. The
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a. Evidence. Raw evidence, such as
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September 10, 2008), in which the a
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The claim has been accepted for rig
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2. Several letter carriers were out
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14. Authorizing Medical Treatment a
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2-0810-2 Introduction 2. Introducti
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2-0810-4 Sources of Medical Evidenc
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under the FECA. See Dona M. Mahurin
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To be acceptable as medical evidenc
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not rationalized. The physician sho
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only once can weigh as heavily as,
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2-0810-7 Requesting Information fro
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or sufficient rationale, and the CE
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Also, where a referee examination i
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(5) The AP cannot or will not send
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other physician is supported by obj
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described. (d) As appropriate, an a
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attending the second opinion examin
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issue(s). While the referee’s rep
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of an excluded medical report were
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examination under 5 U.S.C. 8123(d).
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would require a more detailed expla
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2-0810-16 Functional Capacity Evalu
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the requested item, the CE should a
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the facility is fully suitable for
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above. e. Denial of Approval. If th
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2-0810-21 Attendant Allowance 21. A
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2-0811 Nurse Case Management Chapte
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A Staff Nurse assigned to each dist
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5. The Field Nurse (FN). A FN is as
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examples of these instances are: (1
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notification. (6) Release to return
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intervention, the CE and the FN wil
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collaboration between the CE and SN
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assigned, the FN should be notified
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clear goals or direction, as well a
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a. Conference Calls. During the nur
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FEDERAL (FECA) PROCEDURE MANUAL Cha
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Page 391 and 392:
Page 393 and 394:
Page 395 and 396:
Page 397 and 398:
Page 399 and 400:
Page 401 and 402:
Page 403 and 404:
2-0813 Vocational Rehabilitation Se
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When it appears that the claimant
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This chapter explains the procedure
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Lastly, this chapter explains the p
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2. Stautory, Regulatory and Program
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Section 8111 of the Act allows the
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Section 8151 of the Act provides re
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The Code of Federal Regulations dis
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The Vocational Rehabilitation (VR)
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(1) The RS’s responsibilities inc
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(3) The CE’s responsibilities inc
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a. Compensation for Wage Loss. Sect
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c. Schedule Awards. If a claimant r
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4. Restoration Rights with the Fede
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a. OPM’s regulations on retention
Page 463:
c. When an injured worker resumes e
Page 468:
5. Referrals for Vocational Rehabil
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If the attending physician cannot f
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. The CE should ensure that the fil
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Note - Prior to referral, the CE sh
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(2) The claimant should be capable
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(4) There should not be any outstan
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d. The FN may recommend a vocationa
Page 496:
The FN will focus on the medical as
Page 500:
g. To identify cases for early inte
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i. Making the Referral. The CE refe
Page 508:
(2) The name of the attending physi
Page 512:
(4) The date on which disability (o
Page 516:
(6) Whether or not the CE authorize
Page 520:
(8) When the case is being referred
Page 524:
(10) An indication as to whether or
Page 528:
j. Limited Referrals. If the claima
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(2) An Occupational Rehabilitation
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The CE should identify the non-empl
Page 539:
a. Roles and responsibilities. In o
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(a) Refer the claimant to an RC to
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(c) Advise the CE that the case has
Page 551:
(2) Role of the RC. Working under t
Page 554:
with the claimant so that all perti
Page 558:
(4) Role of the claimant. Claimants
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(1) If the employer has shown no in
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c. Interruptions. PPE may be interr
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(1) If the claimant returns to work
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(3) If the EA does not provide an o
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7. Plan Development. If efforts to
Page 579 and 580:
sufficient numbers to make successf
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to the claimant, and the RS will di
Page 583 and 584:
(3) On-the-job training is another
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a. Services offered during this pha
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c. Time Frames. The PNE phase usual
Page 589 and 590:
(c) It must support an LWEC rating,
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a. Various medical services can be
Page 593 and 594:
(7) Reports. The ORP facility must
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Interrupt status is used when rehab
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esolve misunderstandings, or provid
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a. CE Responsibilities. The CE has
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(3) The CE should appropriately dev
Page 603 and 604:
wage-earning capacity had he or she
Page 605 and 606:
days is calculated from the date pl
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ating of the claimant’s WEC has b
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a. A conference may be helpful any
Page 611 and 612:
a. Return to Work with the Previous
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DFEC has adopted the following defi
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7. REPETITIVE MOVEMENTS OF WRISTS (
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2-0814 REEMPLOYMENT: DETERMINING WA
Page 619 and 620:
Exhibits 1. Sample Letter to Claima
Page 622 and 623:
. Preliminary Assessment of Positio
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(b) If the attending physician cont
Page 627 and 628:
employing agency, however, has an a
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e. Payment/Reimbursement of Relocat
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income to the claimant. The CE will
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on June 5, 1997, returned to work o
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not equate to a finding that the po
Page 637 and 638:
imprisonment. The implementing regu
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coworkers had treated him poorly wh
Page 641 and 642:
(2) If OWCP is seeking modification
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. LWEC Determination Not Made. When
Page 645 and 646:
2-0814 Exhibit 1: Sample Letter To
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SAMPLE LETTER TO CLAIMANT ADVISING
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2. Establishing a Pay Rate 3/11 11-
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letter, secure e-mail with the empl
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The salary for full-time rural carr
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(a) Full-time firefighters, such as
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(1) Career seasonal employment. Thi
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(which is discussed in further deta
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of the injury having regard to the
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so supportive rationale should be i
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2-0900-5. Effective Date of Pay Rat
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date, would be used because it was
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. Administrative Inclusions. It has
Page 671 and 672:
hourly rate (computed using the 208
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an employee’s pay rate: (1) Overt
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shifts (which is the most common si
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6 days per week, for example. This
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2-0900-11 Computing Monthly Pay Rat
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similar employment” under §8114
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When there is no disability, claima
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18. Other Payees 12/95 07/00 04/02
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(d) Death benefits, FECA PM 5-307.
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(2) The CE is responsible for notin
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(2) The amounts payable for funeral
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2-0901-8 Basic Computations 8. Basi
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c. Conversion from Daily to Weekly
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Hourly wage X no. of hours per day
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2-0901-11 Maximum Compensation 11.
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2-0901-13 (RESERVED) 13. (Reserved)
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...wages received 2, 5 or 10 years
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decision is issued do not alter tha
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injury. The pay rate for the job he
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e. Representative Payee. When OWCP
Page 711 and 712:
For example, let us assume that the
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(3) If the child does not begin pos
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2 In disability cases, minimum is v
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01/04/87 31.20-46.80 156.00-234.00
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6 The amendments of 07/04/66 establ
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01/01/68 3.7 457 15 09/01/80 4.0 15
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2-0901 Exhibit 5: Percentage Table
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PERCENTAGE TABLE OF SCHEDULE AWARDS
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11 12 cost-of-living increases) 13
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compensation payable; (2) In disabi
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(1) Contact the appropriate person
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the retirement acts. (2) When an em
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(b) If there is accrued compensatio
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Offices (DVARO). In some places the
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(a) No reduction in a schedule awar
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d. Obtaining Elections--Educational
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(3) The CE must advise the claimant
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c. Injuries On and After September
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Based on information contained in t
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2-1000-16 Benefits for Judicial Off
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the CE should suspend compensation
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(See PM 2-0814.11.) (6) An employee
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2-1000 Exhibit 2: OPM Contact List
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When a third party is or may be leg
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attorney) (5) Form EN-1108, Long Fo
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7. Administration of Third Party Ca
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confirms receipt of the refund and
Page 769 and 770:
On the written recommendation of th
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(3) Provide the claimant or attorne
Page 773 and 774:
any SOR for which a refund check ha
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In any other case, where a judgment
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asserted for pain and suffering of
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h. Costs of Suit. The costs of suit
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(6) Section 8133(a) of the FECA pro
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(2) The initial demand letter in an
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efficiently and effectively accompl
Page 787 and 788:
procedures for regular third party
Page 789 and 790:
10.700(b).
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a. Under 5 U.S.C. § 8127(b) and in
Page 793 and 794:
. Should an application be submitte
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(2) The Nature and Complexity of th
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notice of payment of compensation o
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(4) The claimant did contest the am
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2-1300-2 Authority 2. Authority. Se
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annuity adequate to meet living exp
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2-1300 Exhibit 1: Sample of Initial
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FEDERAL EMPLOYEES' COMPENSATION ACT
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Case Number: Employee: APPEAL REQUE
Page 811 and 812:
Dear CLAIMANT NAME: I am writing in
Page 813 and 814:
2-1300 Exhibit 5: Information Neede
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Notice of Reduction 8. Sample Lette
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(1) Notification to Claimant. The C
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See FECA PM 2-0807.10. (2) Particul
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2-1400-4 Notices of Decision Notice
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f. Conclusion. Where the decision i
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approach will assist readers at eve
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(3) A specific service which the cl
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2-1400-7 How to Issue Pre-Terminati
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the claimant for the CE's signature
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(a) Compensation is being terminate
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. Source of Advice. District office
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prior to imprisonment, payment for
Page 839 and 840:
Basis for Decision: While Dr. Smith
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2-1400 Exhibit 3: Sample Notice of
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2-1400 Exhibit 4: Sample Letter Con
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2-1400 Exhibit 6: Sample Notice of
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2-1400 Exhibit 8: Sample Letter Con
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2-1400 Exhibit 10: Sample Letter De
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2-1500 RECURRENCES TABLE OF CONTENT
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(e.g., "pipeline" grants); (c) True
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(3) The case was originally accepte
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c. Case Management. The CE should c
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determined in its November 24, 1999
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2-1600 REVIEW PROCESS TABLE OF CONT
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(2) Any file in which a complaint a
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1. Purpose and Scope. This chapter
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5. Review of the Written Record. Th
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Where it has been determined that a
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submit any comments and/or document
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2-1602 RECONSIDERATIONS TABLE OF CO
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inform the claimant that OWCP will
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discretion is not subject to review
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only evidence submitted is cumulati
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now at issue, the SrCE should prepa
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2-1603 APPEALS TABLE OF CONTENTS Pa
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d. Timeliness of Filing. A person r
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2-1603-6 Cases Returned to District
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2-1700 SPECIAL ACT CASES TABLE OF C
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2-1700-4 Peace Corps 4. Peace Corps
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(2) Staff Spouses. (a) The spouses
Page 903 and 904:
the children born of such pregnanci
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(3) Return from Service Abroad. d.
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(3) Compensation for death will be
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(1)While at a Job Corps Center, an
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(1)Enrollees are required to report
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that observers on vessels that are
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2-1800 HOUSING & VEHICLE MODIFICATI
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the appropriate medical specialty.
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educed by the trade-in value of the
Page 922 and 923:
available comes with extras (like a
Page 924 and 925:
of living, due to personal preferen
Page 926 and 927:
enrichment.” ECAB stated that wit
Page 928 and 929:
such as increased durability or deg
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proposal, or review of a submitted
Page 932 and 933:
collision insurance on vehicles pai
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By signing this agreement, all part
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Memorandum of Agreement - Modificat
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Date: Memorandum of Agreement - Hou
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Printing - FECA-PT2 - United States Department of Labor

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