Printing - FECA-PT2 - National Association of Letter Carriers

claimant, the CE should send a copy to the employing agency with a request for completion
of the reverse side of the form.
If forms received from the employing agency lack essential information, which does not appear
elsewhere in the file, a copy of the form must be returned for completion. The original form should
always remain in the claim file.
2-0800-5 Processing Claims
5. Processing Claims. It is the policy of OWCP to minimize financial hardship to claimants by
processing claims in the following order: death claims; cases where pay has been terminated, or will be
terminated shortly; cases in which continuation of pay (COP) has been controverted; and uncontroverted
COP cases. After ensuring that the forms are complete, the CE must evaluate them and any other
material submitted to establish whether the case meets the five basic requirements of the claim. The CE
will then take one of the following actions:
a. Approve the Case. When the evidence is sufficient to determine that the five basic
requirements have been met, the CE should:
(1) Enter the accepted condition, case and adjudication status codes into the CMF.
(2) In traumatic injury cases, determine if COP is payable (see FECA PM 2-807). In
occupational disease cases and in those traumatic injury cases where the claimant is not
entitled to COP but has lost wages, determine if compensation is payable (see FECA PM
2-900) in accordance with timely payment procedures.
(3) If the claimant has not returned to work, or if a schedule award is likely due to a
significant injury to a schedule member, a letter of acceptance with findings of fact on the
basic requirements will be released. The letter must include the date of injury, name of
the employer, accepted work-related condition(s), information regarding entitlement to
COP, and instructions for filing a wage-loss claim. If the employing agency controverted
the claim, the controversion must be addressed. A copy of the letter must be sent to the
employing agency. Form letter CA-1008 may be used as the decision letter. CA-1009
must be released as an attachment to the decision letter.
b. Develop the Case. Development is usually undertaken by mail, although communication by
telefax may be employed when an expeditious reply is required. The telephone should be used
where the request involves answers to specific and simple questions, such as pay rate, date when
pay stopped, or date when employee returned to work. Evidence obtained by telephone must be
carefully documented in writing (on CA-110) and written confirmation should be requested from
the source. In developing a claim, the CE should:
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