Printing - FECA-PT2 - National Association of Letter Carriers

More documents

Recommendations

Info

$G:\CZECHANS\Internet List-sorted alpha.qpw$

NAME OF SIGNER FECA-PT2 Printed: 06/08/2010 240
TITLE ___________________________________________________________________ ASBESTOS EXPOSURE SUMMARY Employee's Name_______________________ Claim No._____________ Job Title From To Asbestos Exposure Nature Degree Frequency Comments:__________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ Nature of Exposure P = Primary: S = Secondary: I = Intermittent: The individual's normal duties required actual manipulation of asbestos and/or asbestos products and generated dust. The individual's normal duties regularly involved work alongside others who were primarily exposed or placed the individual in the same confined space on a regular basis. The individual's normal duties irregularly involved entry into locations where asbestos and/or asbestos products were manipulated. E = Environmental: The individual's normal duties were performed at a location or facility (such as a shipyard) where asbestos was used but the individual had no normal exposure in excess of ambient levels. FECA-PT2 Printed: 06/08/2010 241
Page 1 and 2:
LIST OF CHAPTERS PART 2 - CLAIMS (I
Page 3 and 4:
which may be useful to the CE. b. C
Page 5 and 6:
d. Continuation of Pay. An employee
Page 7 and 8:
o. Review of OWCP Decisions. Under
Page 9 and 10:
2-0300 COMMUNICATIONS TABLE OF CONT
Page 11 and 12:
2-0300-4 Regular Correspondence 4.R
Page 13 and 14:
(b) Formal Decision. If a formal de
Page 15 and 16:
If the information requested cannot
Page 17 and 18:
eferred to the NOO for adjudication
Page 19 and 20:
2-0400-6 Requesting Files 6. Reques
Page 21 and 22:
the file. This process should mainl
Page 23 and 24:
2-0400-10 Case Transfers and Loans
Page 25 and 26:
2-0401 AUTOMATED SYSTEM SUPPORT FOR
Page 27 and 28:
names and addresses is optional. By
Page 29 and 30:
PW: Entitled to payment on periodic
Page 31 and 32:
AM/C1: Condition accepted. Up to $1
Page 33 and 34:
full appeal rights, and the adjudic
Page 35 and 36:
B Both A Aggravation 2-0402 SECURIT
Page 37 and 38:
a. Signatures. The CE must review c
Page 39 and 40:
(a) The particular issues about whi
Page 41 and 42:
c. Review by DD. Upon receipt of th
Page 43 and 44:
disposition, a report, enclosing th
Page 45 and 46:
2-0500 CONFERENCING TABLE OF CONTEN
Page 47 and 48:
necessary to identify the official(
Page 49 and 50:
2-0500-6 Senior CE Actions 6. Senio
Page 51 and 52:
2-0500-9 Due Process 9. Due Process
Page 53 and 54:
This chapter outlines the major ste
Page 55 and 56:
(d) Been notified that OWCP will pr
Page 57 and 58:
2-0600-4 Initial Actions 4. Initial
Page 59 and 60:
2-0600-5 Nurse Services 5. Nurse Se
Page 61 and 62:
assess the claimant's environment a
Page 63 and 64:
(4) Timely responses to telephone c
Page 65 and 66:
for guidance in composing such ques
Page 67 and 68:
(4) Only if the CE has taken these
Page 69 and 70:
(1) RS Actions. If the claimant agr
Page 71 and 72:
(3) Absent such a recovery, the OWC
Page 73 and 74:
(c) After any training or other pre
Page 75 and 76:
under way and the CE determines tha
Page 77 and 78:
2-0600 Exhibit 1: Sample Letter to
Page 79 and 80:
2-0600 Exhibit 3: Example of Letter
Page 81 and 82:
2-0600 Exhibit 5: Planning Chart fo
Page 83 and 84:
period, and each new recurrence. a.
Page 85 and 86:
a. QCM Screen. When the QCM screen
Page 87 and 88:
(c) Confirmation of Data. After ent
Page 89 and 90:
(1) NFN*--Referred to Field Nurse.
Page 91 and 92:
2-0601-6 Effect of RTW on QCM Statu
Page 93 and 94:
2-0601 Exhibit 1: Disability Tracki
Page 95 and 96:
SRE Referred to SrCE for Conference
Page 97 and 98:
21. FECA Death Gratuity 4/10 10-06
Page 99 and 100:
. Claimant. The claimant is respons
Page 101 and 102:
2-0700-6 Adjudication 6. Adjudicati
Page 103 and 104:
(3) If the parties lived apart for
Page 105 and 106:
(3) If the child does not begin pos
Page 107 and 108:
Compensation was terminated effecti
Page 109 and 110:
. Dependency Criteria. The test of
Page 111 and 112:
(3) Proof of physical or mental inc
Page 113 and 114:
The CE should prepare a memorandum
Page 115 and 116:
. Employee Status. The $200 payment
Page 117 and 118:
(b) Form CA-1617 should be released
Page 119 and 120:
2-0700-20 Gratuity 20. Gratuity fro
Page 121 and 122:
2-0700 Exhibit 1: Percentages of En
Page 123 and 124:
2-0800-2 Definitions 2. Definitions
Page 125 and 126:
. Employing Agency. The FECA requir
Page 127 and 128:
claimant, the CE should send a copy
Page 129 and 130:
(3) The case must be coded as withd
Page 131 and 132:
entire group of cases must be adjud
Page 133 and 134:
2-0800-10 Investigation 10. Investi
Page 135 and 136:
2-0800-13 Affirmative Defense 13. A
Page 137 and 138:
2-0801 TIME TABLE OF CONTENTS Parag
Page 139 and 140:
5 U.S.C. 8122 on the ground that no
Page 141 and 142:
(4) If a claim is not received by O
Page 143 and 144:
(1) Disappearance During a Period o
Page 145 and 146:
2-0802 CIVIL EMPLOYEE TABLE OF CONT
Page 147 and 148:
2-0802-1 Purpose and Scope 1. Purpo
Page 149 and 150:
(1) The precise time when the worke
Page 151 and 152:
2-0802-8 Contract Job Cleaners Used
Page 153 and 154:
2-0802-13 Volunteer Workers with th
Page 155 and 156:
(1) Whether, prior to the transfer
Page 157 and 158:
. The pay rate for compensation pur
Page 159 and 160:
2-0802-24 U.S. Park Police and Secr
Page 161 and 162:
a participant or crew leader servin
Page 163 and 164:
2-0803 FACT OF INJURY TABLE OF CONT
Page 165 and 166:
2-0803-4 Development of Factual Evi
Page 167 and 168:
2-0804 PERFORMANCE OF DUTY TABLE OF
Page 169 and 170:
time before or after the end of the
Page 171 and 172:
(a) A diagram showing the boundarie
Page 173 and 174:
d. Workers in a Travel Status. (1)
Page 175 and 176:
2-0804-6 To and From Work 6. To and
Page 177 and 178:
(a) The reason the employee was req
Page 179 and 180:
(1) At the time of the injury, the
Page 181 and 182:
(1) Martha G. List, 26 ECAB 200. Em
Page 183 and 184:
duty, the CE may approve the case.
Page 185 and 186:
action taken; and (4) Statements fr
Page 187 and 188:
2-0804-14 Statutory Exclusions 14.
Page 189 and 190: would justify such disobedience. (c
Page 191 and 192: (2) The official superior should al
Page 193 and 194: c. Development. (1) It is the CE's
Page 195 and 196: such as soliciting new members or c
Page 197 and 198: c. Performance Ratings. The Board r
Page 199 and 200: Where an employee asserts that emot
Page 201 and 202: The Board noted that Cannon was unl
Page 203 and 204: Since both cases involve procedures
Page 205 and 206: Ashberry's disability was not compe
Page 207 and 208: no longer be considered so in light
Page 209 and 210: 2-0804-18 Employing Agency Physical
Page 211 and 212: f. This matter was initially addres
Page 213 and 214: compensation would be payable for t
Page 215 and 216: limited to the period of work-relat
Page 217 and 218: (6) Certain other kinds of cases re
Page 219 and 220: (2) A nurse becomes disabled by pul
Page 221 and 222: the body originally injured is term
Page 223 and 224: 2-0806 OCCUPATIONAL ILLNESS TABLE O
Page 225 and 226: 2-0806-1 Purpose and Scope 1. Purpo
Page 227 and 228: the following steps, depending on w
Page 229 and 230: (4) Exposure to and Identification
Page 231 and 232: While records of past medical treat
Page 233 and 234: the medical connection between lift
Page 235 and 236: (b) The medical evidence presented
Page 237 and 238: 2-080 Exhibit 2: Sample Letter to C
Page 239: 2-0806 Exhibit 3: Sample Letter to
Page 243 and 244: 2-0806 Exhibit 4: Sample Letter to
Page 245 and 246: eason, you should call or write to
Page 249 and 250: 9. [FREE FLOW IF DESIRED] We may wr
Page 255 and 256: If you do not understand any part o
Page 261 and 262: stressful situations in your person
Page 263 and 264: TITLE FECA-PT2 Printed: 06/08/2010
Page 265 and 266: I am writing in reference to your c
Page 269 and 270: We may write directly to a physicia
Page 271 and 272: 2-0806 Exhibit 20: Sample Questions
Page 273 and 274: TA Amputation TB Back strain TC Con
Page 275 and 276: (D )Other Disability, Occupational
Page 277 and 278: a. Traumatic Injury. If an air traf
Page 279 and 280: 2-0807-6 Period of Entitlement 6. P
Page 281 and 282: d. Return to Duty. The injured empl
Page 283 and 284: f. The injury was not reported on a
Page 285 and 286: W = Total number weeks worked P/W =
Page 287 and 288: COP is paid for the entire period o
Page 289 and 290: (c) When the physician's report ind
Page 291 and 292:
(a) Assign or detail the employee t
Page 293 and 294:
. Monitoring the Claim. (1) If Form
Page 295 and 296:
(4) If conflicting information appe
Page 297 and 298:
a. Permanent Total Disability (PTD)
Page 299 and 300:
(1) Prior to December 7, 1940. No p
Page 301 and 302:
(2) Impairment due to amputation is
Page 303 and 304:
. Claims for Increased Schedule Awa
Page 305 and 306:
compensation for temporary total di
Page 307 and 308:
Medical. 2-0809-2 Introduction 2. I
Page 309 and 310:
CE is ready to evaluate the evidenc
Page 311 and 312:
the physician with a complete pictu
Page 313 and 314:
(3) Personal habits such as smoking
Page 315 and 316:
games or operating a construction b
Page 317 and 318:
Jane Doe, date of birth 04/06/1965,
Page 319 and 320:
elated to the employee’s duties;
Page 321 and 322:
16. Physical Therapy 04/01 01-06 03
Page 323 and 324:
evaluating the merits of medical re
Page 325 and 326:
situation where ten days earlier th
Page 327 and 328:
each opinion. The value of the evid
Page 329 and 330:
manipulation of the body. They incl
Page 331 and 332:
. The DMA's performance of these fu
Page 333 and 334:
evidence from physicians who have n
Page 335 and 336:
e. In cases involving a preexisting
Page 337 and 338:
(1) The consultant should be asked
Page 339 and 340:
value). Based on the results of thi
Page 341 and 342:
However, if the impartial specialis
Page 343 and 344:
2-0810-13 Exclusion of Medical Evid
Page 345 and 346:
Leanna Garlington, 37 ECAB 849). Re
Page 347 and 348:
(d) A suggested supplier, if any. (
Page 349 and 350:
need for further treatment as detai
Page 351 and 352:
2-0810-18 Transfer of Medical Care
Page 353 and 354:
2-0810 Exhibit 1: Information from
Page 355 and 356:
Dear CLAIMANT NAME: We need the fol
Page 357 and 358:
2-0810 Exhibit 3: General Guideline
Page 359 and 360:
2-0810 Exhibit 5: Sample Paragraph
Page 361 and 362:
2-0810 Exhibit 7: Letter of Warning
Page 363 and 364:
In addition, a primary goal of case
Page 365 and 366:
(3) Release Form CA-1008 and Pamphl
Page 367 and 368:
a. Where disability is present, the
Page 369 and 370:
f. If the evidence obtained as a re
Page 371 and 372:
eligible for disability benefits. A
Page 373 and 374:
f. Physician's estimate of the date
Page 375 and 376:
2-0812 PERIODIC REVIEW OF DISABILIT
Page 377 and 378:
2-0812-1 Purpose and Scope 1. Purpo
Page 379 and 380:
determine the status of dependents
Page 381 and 382:
whether disability is related to th
Page 383 and 384:
earnings or activity is in question
Page 385 and 386:
eferred to the Office of Inspector
Page 387 and 388:
. Suspension of Compensation. OWCP
Page 389 and 390:
certification clauses on the CA-103
Page 391 and 392:
SI Payment/Entitlement Suspension i
Page 393 and 394:
with the return to work effort. CFF
Page 395 and 396:
should be placed in a PN status. OP
Page 397 and 398:
force. 10. If the business has had
Page 399 and 400:
I am writing in follow up to the Fo
Page 401 and 402:
2-0812 Exhibit 6 - Periodic Entitle
Page 403 and 404:
Service. On 03/14/2003, the claiman
Page 405 and 406:
Authorized Medical Care for Substan
Page 407 and 408:
a. OPM's regulations on retention r
Page 409 and 410:
d. To identify cases for early inte
Page 411 and 412:
2-0813-7 Communication Among the CE
Page 413 and 414:
d. Cooperative Agreement. The title
Page 415 and 416:
ehabilitation process. 2-0813-11 Fa
Page 417 and 418:
(2) To reduce compensation in this
Page 419 and 420:
The specificity of the reasons offe
Page 421 and 422:
in conjunction with graded conditio
Page 423 and 424:
(1) Where the claimant cannot perfo
Page 425 and 426:
2-0813 Exhibit 2: Non-Cooperation W
Page 427 and 428:
2-0813 Exhibit 4: Sample Letter to
Page 429 and 430:
2-0814 REEMPLOYMENT: DETERMINING WA
Page 431 and 432:
Exhibits 1. Sample Letter to Claima
Page 433 and 434:
. Preliminary Assessment of Positio
Page 435 and 436:
(b) If the attending physician cont
Page 437 and 438:
(3) The employing agency will be as
Page 439 and 440:
e. Payment/Reimbursement of Relocat
Page 441 and 442:
have no appeal rights attached. c.
Page 443 and 444:
were not reported to OWCP or were o
Page 445 and 446:
(3) If the employee can work only p
Page 447 and 448:
this instance the CE will need to e
Page 449 and 450:
d. Unacceptable Reasons for Abandon
Page 451 and 452:
closure of an installation, cessati
Page 453 and 454:
Code, and returns to duty under ret
Page 455 and 456:
If you receive an increase in pay o
Page 457 and 458:
2-0814 Exhibit 3: Sample Letter To
Page 459 and 460:
RATE DATE FOR SCHEDULE AWARDS 01/10
Page 461 and 462:
(1) Kinds of Appointments. The Post
Page 463 and 464:
year, in the teaching profession, w
Page 465 and 466:
(b) Census enumerators; (c) Casual
Page 467 and 468:
The CE should consider these factor
Page 469 and 470:
The greatest of these pay rates wil
Page 471 and 472:
the Department of Veterans Affairs
Page 473 and 474:
degree of expense, hardship, and in
Page 475 and 476:
(2) Basic bi-weekly pay x premium p
Page 477 and 478:
2-0900-9 Computing Daily Pay Rate 9
Page 479 and 480:
2-0900-11 Computing Monthly Pay Rat
Page 481 and 482:
The salary for these employees may
Page 483 and 484:
2-0901 COMPUTING COMPENSATION TABLE
Page 485 and 486:
2-0901-2 Related Topics 2. Related
Page 487 and 488:
(4) A GS-12 CE or designated CE may
Page 489 and 490:
2-0901-4 Factors in Computing Compe
Page 491 and 492:
(3) For schedule award payments, th
Page 493 and 494:
(4) Compensation payable for less t
Page 495 and 496:
2-0901-9 Special Determinations 9.
Page 497 and 498:
2-0901-11 Maximum Compensation 11.
Page 499 and 500:
payment. a. Beginning Date. Schedul
Page 501 and 502:
(3) ( ) (a) is capable of earning (
Page 503 and 504:
automatic pay increases. For exampl
Page 505 and 506:
claimant to a higher pay rate under
Page 507 and 508:
(a) the beneficiary's maintenance,
Page 509 and 510:
Letter CA-1208 to the claimant, wit
Page 511 and 512:
01/01/76 4.4 10/10/76 18.96-28.44 9
Page 513 and 514:
01/02/2000 44.98-67.47 224.91-337.3
Page 515 and 516:
10/07/79 144.56 722.78 - (2,891.12)
Page 517 and 518:
*Calendar Days 01/01/2001 3.3 365 1
Page 519 and 520:
PERCENTAGE TABLE OF SCHEDULE AWARDS
Page 521 and 522:
2-0901 Exhibit 6: Activity Codes AC
Page 523 and 524:
12. Tennessee Valley Authority 02/9
Page 525 and 526:
. Death Benefits. When compensation
Page 527 and 528:
(3) Certification. The CE should ha
Page 529 and 530:
elected, refer the case to the inac
Page 531 and 532:
(b) If there is accrued compensatio
Page 533 and 534:
Centers, and DVA Hospitals. If the
Page 535 and 536:
(b) The claimant may be entitled to
Page 537 and 538:
d. Obtaining Elections--Educational
Page 539 and 540:
(3) The CE must advise the claimant
Page 541 and 542:
c. Injuries On and After September
Page 543 and 544:
Based on information contained in t
Page 545 and 546:
2-1000-16 Benefits for Judicial Off
Page 547 and 548:
(a) Calculate the number of weeks w
Page 549 and 550:
I. Claimants must elect between Fed
Page 551 and 552:
2-1000 Exhibit 2: OPM Contact List
Page 553 and 554:
When a third party is or may be leg
Page 555 and 556:
(6) Ltr. CA-1109, Authorization to
Page 557 and 558:
7. Administration of Third Party Ca
Page 559 and 560:
(3) If not accurate or complete, th
Page 561 and 562:
the DCE, is urgent should be sent i
Page 563 and 564:
(3) Provide the claimant or attorne
Page 565 and 566:
for a course of action. All formal
Page 567 and 568:
In any other case, where a judgment
Page 569 and 570:
(b) 5 percent of the total to be al
Page 571 and 572:
To determine the amount to be liste
Page 573 and 574:
(6) Section 8133(a) of the FECA pro
Page 575 and 576:
(2) The initial demand letter in an
Page 577 and 578:
of the employee. The USPS cannot re
Page 579 and 580:
not be referred to the FEEWC until
Page 581 and 582:
FECA-PT2 Printed: 06/08/2010 581
Page 583 and 584:
a. Under 5 U.S.C. § 8127(b) and in
Page 585 and 586:
. Should an application be submitte
Page 587 and 588:
and the requested fee is reduced du
Page 589 and 590:
2-1200 Exhibit 1: Sample Formal Dec
Page 591 and 592:
2-1300 LUMP SUM PAYMENTS TABLE OF C
Page 593 and 594:
2-1300-3 Requests for Lump-Sum Paym
Page 595 and 596:
2-1300-4 Calculating Lump-Sum Sched
Page 597 and 598:
2-1300 Exhibit 2: Sample Appealable
Page 599 and 600:
3. REVIEW BY THE EMPLOYEES' COMPENS
Page 601 and 602:
SIGNATURE _________________________
Page 603 and 604:
We have received your request for a
Page 605 and 606:
2-1400 DISALLOWANCES TABLE OF CONTE
Page 607 and 608:
2-1400-1 Purpose and Scope Purpose
Page 609 and 610:
a. Initial Disallowances. Such disa
Page 611 and 612:
(1) Failure to Appear for Medical A
Page 613 and 614:
(1) The name and location of the em
Page 615 and 616:
injury caused no disability for wor
Page 617 and 618:
(3) A specific service which the cl
Page 619 and 620:
2-1400-7 How to Issue Pre-Terminati
Page 621 and 622:
(a) The case is being referred beca
Page 623 and 624:
(a) Compensation is being terminate
Page 625 and 626:
. Source of Advice. District office
Page 627 and 628:
usual rate, i.e., 75 percent of the
Page 629 and 630:
objective findings to support your
Page 631 and 632:
2-1400 Exhibit 3: Sample Notice of
Page 633 and 634:
2-1400 Exhibit 4: Sample Letter Con
Page 635 and 636:
2-1400 Exhibit 6: Sample Notice of
Page 637 and 638:
2-1400 Exhibit 8: Sample Letter Con
Page 639 and 640:
2-1400 Exhibit 10: Sample Letter De
Page 641 and 642:
2-1500 RECURRENCES TABLE OF CONTENT
Page 643 and 644:
(d) Closure of a base or other faci
Page 645 and 646:
(1) The medical evidence needed to
Page 647 and 648:
c. Case Management. The CE should c
Page 649 and 650:
emains the same regardless of wheth
Page 651 and 652:
2-1600 REVIEW PROCESS TABLE OF CONT
Page 653 and 654:
c. Formal Decision. Chapter 2-1400
Page 655 and 656:
Page 657 and 658:
the request. H&R will acknowledge r
Page 659 and 660:
spouse or child prevents his or her
Page 661 and 662:
OWCP shall pay fees requested by wi
Page 663 and 664:
2-1601-9 Cases Returned from H&R 9.
Page 665 and 666:
2-1601 Exhibit 2: Sample Letters Ac
Page 667 and 668:
Exhibit 3, page 1 of 3: Hearing Not
Page 669 and 670:
Exhibit 3, page 3 of 3: Hearing Ins
Page 671 and 672:
2-1601 Exhibit 5: Request for Comme
Page 673 and 674:
2-1602 RECONSIDERATIONS TABLE OF CO
Page 675 and 676:
2-1602-2 Policy 2. Policy. The foll
Page 677 and 678:
d. Decision. An untimely applicatio
Page 679 and 680:
percentage of the award under the S
Page 681 and 682:
(2) The cover letter to the agency
Page 683 and 684:
2-1602 Exhibit 1: Sample Letter Ret
Page 685 and 686:
Dear CLAIMANT NAME: We have reviewe
Page 687 and 688:
2-1602 Exhibit 5: Sample Compensati
Page 689 and 690:
2-1603 APPEALS TABLE OF CONTENTS Pa
Page 691 and 692:
d. Timeliness of Filing. A person r
Page 693 and 694:
2-1603-6 Cases Returned to District
Page 695 and 696:
2-1700 SPECIAL ACT CASES TABLE OF C
Page 697 and 698:
2-1700-4 Peace Corps 4. Peace Corps
Page 699 and 700:
(2) Staff Spouses. (a) The spouses
Page 701 and 702:
Compensation for loss of wages may
Page 703 and 704:
(3) Return from Service Abroad. d.
Page 705 and 706:
Section 5 U.S.C. 8101(4), which pro
Page 707 and 708:
(1)While at a Job Corps Center, an
Page 709 and 710:
(1)Enrollees are required to report
Page 711 and 712:
coverage under 5 U.S.C. 8101. b. Co
Page 713 and 714:
Page 715 and 716:
2-1800-2 Authority 2. Authority. Ho
Page 717 and 718:
determined by the type of vehicle,
Page 719 and 720:
greatest current fair market value
Page 721 and 722:
Such certification from an architec
Page 723 and 724:
over $10,000, and that amount must
Page 725 and 726:
2-1800-7 Housing Modifications for
Page 727 and 728:
send an approval letter along with
Page 729 and 730:
By signing this agreement, all part
Page 731 and 732:
By signing this agreement, all part
Page 733 and 734:
Memorandum of Agreement - Modificat
Page 735 and 736:
Memorandum of Agreement - Housing M
show all

Printing - FECA-PT2 - National Association of Letter Carriers

You also want an ePaper? Increase the reach of your titles

Delete template?

Save as template?