Printing - FECA-PT2 - National Association of Letter Carriers

2-0806 Exhibit 5: Sample Letter to Agency--Cardiac Condition
Dear EMPLOYING AGENCY REPRESENTATIVE:
I am writing in reference to the claim for benefits under the Federal Employees' Compensation Act (FECA)
filed by the above-named employee for a cardiac condition. We have reviewed the Form CA-2 and all
accompanying information. We need the following additional information from you to determine whether
the employee is eligible for benefits.
1. Provide comments from a knowledgeable supervisor on the accuracy of all statements made by the
employee relative to this claim. Does the agency concur with the employee's allegations? If there are
points of disagreement, please explain fully and provide any supporting evidence.
2. Could aspects of the employee's job be perceived as stressful (e.g., overtime, deadlines, quotas,
travel, intensity of work, conflict between the employee and coworkers or supervisors, etc.)?
3. Provide a copy of the employee's position description and physical requirements of the job. If the
actual duties varied from the official description, explain how.
4. During the period the employee claims detrimental work factors existed, were there staffing
shortages which affected the employee's work load, or extra demands for any reason?
5. Was this employee generally able to perform required duties in accordance with expectations?
Were there any performance or conduct problems? Please describe.
6. [FREE FLOW IF DESIRED]
Title 20 CFR 10.102(b) provides that, in the absence of a full reply from the agency, we may accept the
claimant's allegations as factual. Your assistance in ensuring that all requested information is provided to
OWCP within 30 days is appreciated.
If clarification of any portion of this request is required, or if you cannot provide any requested
information, please contact us immediately. Thank you for your assistance.
Sincerely,
NAME OF SIGNER
TITLE
FECA-PT2 Printed: 06/08/2010 247