Adjudicating Your Case
If you have filed a Form CA-1 for a traumatic injury, and have not lost time for work, limited medical expenses may be paid by OWCP without a formal review of your claim being conducted. In such case, you will not receive a written decision on your claim and may not receive any further correspondence. Your agency representative may be able to advise you in this situation.
If we make a formal review of your case, you are responsible for providing enough factual and medical information for OWCP to decide whether you are entitled to benefits. We will help you to meet this responsibility by asking you for the information we need that is not already included in your file. You should send any additional information in writing.
If you are claiming an occupational disease, make sure that you provide all information outlined in the instructions included with Form CA-2, as soon as possible. If they approve your case after formal review and you have lost time from work due to the injury, they will advise you in writing of the acceptance and send you further information about your benefits.
If they deny your case, we will provide you with an explanation of why your claim is denied and advise you fully of your appeal rights, including the time frames for exercising these rights and the offices you should contact.
