Who Fills Out the CA-16 Form?

When a federal employee is injured on the job, one of the first forms that may come into play is the CA-16 Authorization for Examination and/or Treatment. This form is a crucial part of the federal workers’ compensation process under the Office of Workers’ Compensation Programs (OWCP). But who exactly is responsible for filling out the CA-16 form? Let’s break it down.

What is a CA-16 Form?

The CA-16 form is issued by a federal employer to authorize immediate medical care following a work-related injury or illness. This authorization allows the injured worker to seek prompt medical attention without delay or concern over immediate medical expenses. The form also protects the employee’s eligibility for OWCP benefits while allowing a qualified medical provider to begin treatment right away.

Who Fills Out the CA-16 Form?

The responsibility for filling out the CA-16 form is typically shared between two parties:

1. The Federal Employer (Agency)
The injured employee’s supervisor or designated agency representative is responsible for completing Part A of the CA-16 form.

This section includes essential information such as:

Employee’s personal details
Description of the injury
Date and time of the incident
Agency details

The employer’s timely completion of this section is critical, as it authorizes medical treatment and ensures the injured worker has access to care without unnecessary delays.

2. The Treating Physician (DOL Certified Doctor)
The medical provider completes Part B of the CA-16 form.

This section documents:

Diagnosis of the injury or illness
Treatment plan
Work status (ability to return to work, restrictions, etc.)
Anticipated recovery period
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It is important that this part is completed by a doctor who understands the OWCP process and federal workers’ compensation regulations.

The Importance of Seeing an Experienced OWCP Doctor

While any licensed physician can technically complete the medical portion of the CA-16, it’s highly recommended that federal employees seek care from experienced DOL doctors who specialize in federal workers’ compensation cases.

At Dallas Medical Multicare in Dallas, TX, our team of DOL-certified physicians and OWCP experts is fully equipped to handle every aspect of your federal work injury claim. We understand the complexities of federal workers’ compensation and ensure that all forms, including the CA-16, are completed accurately and thoroughly, helping you avoid delays or denials in your claim.

Why Choose Dallas Medical Multicare?

✅ Experienced OWCP Providers

✅ Accurate and Timely Form Completion

✅ Full Claims Assistance

✅ Personalized Injury Treatment Plans

✅ Convenient Dallas Location

We proudly serve injured federal employees throughout the Dallas area, helping them get the medical care they need while guiding them through the complex OWCP process.

Don’t Navigate the Process Alone — We Can Help!

If you’ve been injured on the job as a federal employee, it’s essential to act quickly and correctly. The team at Dallas Medical Multicare is here to help you every step of the way — from the initial CA-16 form to your full recovery.