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OWCP Basic Training - 15th Annual Federal Workers ...

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Tips for CA-1 Form Completion-Employee Portion -• The front page is to be completed by theemployee, but if the employee is incapacitated,the supervisor can complete it for them.• Check to make sure that the employee usestheir home address in Block 7 and not theagency address.• The employee must put a specific date for thedate of injury and date of notice. If the employeeputs a date range down for the date of injury, it islikely an occupational claim.• Check to make sure the employee signs anddates the form

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