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ca-16 Authorization for Examination and/or Treatment
Federal Employees' Compensation Act Medical Reports and Compensation Claims
CA-16 final
FECA Medical Report Forms, Claim for Compensation
OMB: 1240-0046
OMB.report
DOL/OWCP
OMB 1240-0046
ICR 202407-1240-001
IC 13770
ca-16 Authorization for Examination and/or Treatment
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1240-0046 can be found here:
2025-02-19 - No material or nonsubstantive change to a currently approved collection
2024-12-05 - No material or nonsubstantive change to a currently approved collection
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