CA-20 Attending Physician’s Report

OWCP Form CA-20 is the Attending Physician’s Report. It is a medical report that is required by the U.S. Department of Labor’s Office of Workers’ Compensation Programs (OWCP) before payment of compensation for loss of wages or permanent disability can be made to the employee. The form is used to gather information about the employee’s injury or illness, the diagnosis, the treatment plan, and the employee’s work status.

The OWCP requires that Form CA-20 be completed by the employee’s attending physician, which is the doctor who is primarily responsible for the employee’s care. The form should be completed as soon as possible after the employee is injured or becomes ill, and should be submitted to the OWCP within 30 days of the date of injury or illness.

Form CA-20 is a detailed form that asks the physician to provide information about the following:

• The employee’s name, date of birth, and social security number
• The date and time of the injury or illness
• A description of the injury or illness
• The physician’s diagnosis
• The physician’s recommended treatment plan
• The employee’s work status, including any restrictions on work activities
• The physician must also sign and date the form.

Form CA-20 can be submitted to the OWCP electronically through the ECOMP system, or by mail. To submit the form electronically, the physician must register for an account with the OWCP. To submit the form by mail, the physician should send it to the OWCP district office that has jurisdiction over the employee’s claim.

If you have any questions about Form CA-20, or about the OWCP claims process, you should contact your attending physician or the OWCP district office.