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The National Border Patrol Council had the following flowcharts developed to help bargaining unit employees in determining what to do under the Federal Employee Compensation Act (FECA) when injured on the job.  We hope these flowcharts prove to be useful for representatives assisting employees and for employees independently seeking information. While looking at the charts, you may notice there is underlined text. The underlined text are hyperlinks, which will direct a reader  to additional useful information when clicked.

Download the charts

OWCP Forms and Filing Timeline

The National Border Patrol Council developed this table of the most commonly used OWCP forms and the respective timeline for filing each form. For a fillable version of the form, click on the form number. Additional Form are located on the DOL DFEC forms page.

Download a PDF version of this table

 FORM  TITLE USE  EMPLOYEE TIMELINE  AGENCY TIMELINE
CA-1 Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation Traumatic injury, occurs within one work shift Within 30 days of injury to get COP; within 3 years for eligibility Submit to OWCP within 10 days of receipt from employee 
 CA-2 Notice of Occupational Illness/Disease and Claim for Compensation Long term or chronic illness or disease 3 years from date first aware of nexus to employment  Submit to OWCP within 10 days of receipt from employee
 CA-2a Notice Employee’s Recurrence of Disability and Claim for Pay/ Compensation After returning to work, the employee needs to stop work due to injury / illness As soon as possible* Submit to OWCP within 10 days of receipt from employee
 CA-7 Claim for Compensation Request compensation for wage loss (not COP In traumatic injury cases, submit 10 days before end of COP; otherwise, as soon as pay stops (tied to pay periods) Submit to OWCP within 5 days of receipt from employee
 CA-7a Time Analysis Claiming intermittent compensation, partial days, or repurchase of leave Submit 10 days before end of COP; otherwise, as soon as pay stops (tied to pay periods) Submit to OWCP within 5 days of receipt from employee
 CA-7b Leave Buy Back Claiming repurchase of accrued leave used due to injury / illness* Submit 10 days before end of COP; otherwise, as soon as pay stops (tied to pay periods)  Submit to OWCP within 5 days of receipt from employee 
 CA-16 Authorization for Examination and/or Treatment Guarantees payment of medical care after a traumatic injury  Obtain ASAP, within 4 hours; NLT 7 days from DOI; MD submits to OWCP Issue within 4 hours of injury; 48 hours if verbal authorization given
CA-20 Attending Physician's Report Provides medical support for claim Submit to OWCP ASAP following examination(s) N/A
CA-35

Evidence Required in Support of a Claim for Occupational Disease

Provides medical support for specific conditions Upon completion , should be submitted directly to OWCP N/A
OWCP-915 Claim for Medical Reimbursement Claim reimbursement for out of pocket expenses (co-pay, medication, DMEs) Date of service +12 months* N/A
OWCP-957   Medical Travel Refund Request  Claim for reimbursable travel r/t treatment  12 months from date of service  N/A
OWCP-1500 Health Insurance Claim Form   Standard billing form  Physician submits; DOS +12 months*  N/A

The NBPC Office of Workers' Compensation is intended to provide assistance and guidance to NBPC Local executive board members and NBPC Local OWCP coordinators. The current coordinator for the NBPC OWCP program is Jonathan Perkins.

References for federal employees (external links):

Division of Federal Employees' Compensation (DFEC)

Publication 550: Questions and Answers about the Federal Employees' Compensation Act

Publication 810 - Injury Compensation for Federal Employees

OWCP Forms: OWCP's Division of Federal Employees' Compensation Forms

If for any reason you need assistance with an OWCP claim and your station is not providing you the appropriate guidance or assistance, please contact an NBPC Local representative.

The designated OWCP representative for a Local or a Local executive board member may submit a request for assistance with an active OWCP case, in accordance with the NBPC OWCP policy using the form on this website: http://bpunion.org/member-resources/owcp

Thank you,

Executive Committee
National Border Patrol Council

 

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If you are a border patrol agent who is a member of the NBPC union, click here for info to sign up for the overtime lawsuit.

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