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Printing - FECA-PT2 - National Association of Letter Carriers

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(4) If a claim is not received by OWCP or the employing agency within the statutory time<br />

frame after the date <strong>of</strong> injury, the CE must determine when time begins to run. Time<br />

begins to run as stated in the following paragraphs depending upon the type <strong>of</strong> injury or the<br />

status and location <strong>of</strong> the person claiming benefits.<br />

2-0801-5 Traumatic Injury Claims<br />

5. Traumatic Injury Claims. This paragraph discusses how determinations <strong>of</strong> timeliness are made in<br />

traumatic injury cases. Time begins to run from the date <strong>of</strong> injury where the injury can be identified as to<br />

time, place, and circumstances <strong>of</strong> occurrence. The CE must be reasonably certain that the date <strong>of</strong> injury<br />

has been correctly stated. This question should receive particularly careful consideration if the reporting<br />

has been delayed to the extent that the injury may not have been reported within the appropriate time<br />

frame. Additional evidence should be obtained when the CE questions whether the date has been<br />

properly reported. Sources used to verify the date <strong>of</strong> injury include:<br />

a. Statements from the claimant, <strong>of</strong>ficial superior, or witnesses explaining why they believe<br />

the date <strong>of</strong> injury has been correctly stated. A statement from the <strong>of</strong>ficial superior may address<br />

the leave and attendance records showing whether the employee (and the witnesses where so<br />

indicated) was in fact present for duty on the alleged date <strong>of</strong> the accident or during the period<br />

claimed;<br />

b. Copies <strong>of</strong> the medical records covering the medical examinations immediately following the<br />

injury with particular emphasis on the date <strong>of</strong> the accident shown in the history; and<br />

c. Copies <strong>of</strong> any documents prepared immediately following or soon after the accident relating<br />

to the injury.<br />

2-0801-6 Occupational Disease and Latent Injury Claims<br />

6. Occupational Disease and Latent Injury Claims. This paragraph discusses how determinations <strong>of</strong><br />

timeliness are made in occupational disease cases. In these cases, time begins to run when the injured<br />

employee becomes aware, or reasonably should have been aware, <strong>of</strong> a possible relationship between the<br />

disease or condition and the employment. Where the exposure to possible injurious employment-related<br />

conditions continues after this knowledge, the time for filing begins to run on the date <strong>of</strong> the employee's<br />

last exposure to the implicated conditions.<br />

a. Form CA-2 requests the date the claimant first realized the presence <strong>of</strong> an occupational<br />

disease and related it to the employment, and how the employee came to this realization. Form<br />

CA-2 also requires the <strong>of</strong>ficial superior to comment upon the claimant's statements. Where<br />

necessary, the CE should obtain additional information to clarify this issue.<br />

b. If the claimant did not file within the statutory time limitations after exposure to the<br />

employment factors ceased, the medical reports should be examined to determine whether the<br />

claimant was aware, or reasonably should have been aware, <strong>of</strong> the illness and its possible<br />

relationship to employment. For example, the history obtained at the time <strong>of</strong> the first and<br />

subsequent examinations, the date when a definite diagnosis was made, or the advice given by the<br />

doctor to the claimant, may assist the CE in determining the issue <strong>of</strong> possible awareness.<br />

c. If the employing agency gave regular physical examinations which might have detected<br />

<strong>FECA</strong>-<strong>PT2</strong> Printed: 06/08/2010 141

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