Printing - FECA-PT2 - National Association of Letter Carriers

2-0700-6 Adjudication
6. Adjudication.
(1) Death certificate.
(2) Name(s) and address(es) of next of kin.
(3) Marriage certificate (civil certificate).
(4) Birth certificate for each child (to show the legal relationship upon which the claim is
based).
(5) Divorce, dissolution, or death certificate for prior marriages.
(6) Itemized burial bills, receipted if paid (see paragraph 14).
a. If the record shows that any of the five basic requirements with regard to the employee's
death is not satisfied, or the claimant is ineligible for benefits, the CE will prepare a formal decision
(see FECA PM 2-1400). Form CA-1079 is used to transmit the decision. If the case satisfies the
five basic requirements and there is at least one eligible beneficiary, the CE will:
(1) Complete Form CA-674, which is a checklist with a section which applies specifically
to death cases. The form is a permanent part of the record and should remain at the top of
the file.
(2) Obtain the concurrence of the SCE in accepting the case as indicated by certification
of the CA-674.
(3) Initial and date Form CA-800 to indicate the acceptance.
(4) Determine whether a dual benefits situation exists with respect to benefits from the
Office of Personnel Management or the Veterans Administration (VA) and take appropriate
steps (see FECA PM 2-1000).
(5) Complete Form CA-24, FECA Fatal Benefit Payment worksheet, to authorize
payment of applicable benefits if no dual benefits situation or other impediment to
payment exists.
(6) Advise the claimant of the acceptance by narrative letter, which should contain
information regarding:
(a) Four-weekly and monthly compensation entitlement for each eligible
beneficiary (see paragraphs 7 through 10. The amount should be certified before
release of the letter.)
(b) "Lump Sum" provision upon remarriage, if applicable (see paragraph 7).
FECA-PT2 Printed: 06/08/2010 101