If you're a federal employee who was injured at work in Nevada, you have up to 30 days to report the injury and 3 years to file your CA-1 claim with OWCP. But the sooner you file — and the cleaner your documentation — the better your claim outcome. Here's exactly how to do it.
What is a CA-1 form?
Form CA-1 is the "Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation." It's the form you use when you're injured as a result of a single event or a series of events within one workday (for example, a slip-and-fall, a back injury while lifting, or a laceration from equipment).
If your injury developed over time from repetitive motion or exposure (for example, carpal tunnel, occupational asthma, hearing loss), you file a CA-2 instead — that's the occupational disease form.
Did the injury happen from one identifiable event or shift? → CA-1. Did it develop gradually over weeks, months, or years? → CA-2.
Step 1: Report the injury to your supervisor immediately
Federal law requires that you notify your supervisor of an on-the-job injury as soon as reasonably possible — ideally the same day. Delayed reporting is one of the most common reasons OWCP claims are questioned or denied. Even if you aren't sure whether to file a claim yet, get the injury on the record.
Your supervisor is required to provide you a CA-1 form (or direct you to ECOMP, the Department of Labor's online filing portal). They cannot refuse to give you the form.
Step 2: Get medical care — and keep every piece of documentation
You are legally entitled to choose your own treating physician under FECA. You do not have to use an agency-recommended provider, a company clinic, or whoever your supervisor suggests. An OWCP-enrolled physician who understands federal workers' compensation documentation will make a measurable difference in your claim's outcome.
At your first medical visit, ask your provider for three things:
- A complete written diagnosis of your injury.
- A causation statement connecting the injury to your specific work duty.
- A Form CA-17 (Duty Status Report) describing any work restrictions.
Many OWCP claims get denied not because the injury isn't real, but because the medical record doesn't explicitly tie the injury to a specific work event. A sentence like "Patient sustained acute lumbar strain while lifting a 50-lb package on 04/15/2026" is exactly what OWCP claims examiners look for.
Step 3: Complete the CA-1 form
The CA-1 has two main sections. You fill out section 1 (your information, the injury description, and witnesses). Your supervisor fills out section 2 (agency information, confirmation of employment, and their observations).
When you describe the injury in section 1, be specific. Include:
- The exact date and time of the injury
- Your exact work location at the time
- What you were doing (task, body mechanics, objects involved)
- What body part was injured and how
- Any witnesses (name, title, contact)
- Whether you continued working, left work, or sought medical care
Step 4: File through ECOMP
ECOMP is the Department of Labor's online filing portal (ecomp.dol.gov). Most federal agencies now require claims be submitted through ECOMP. You'll need your CA-1 information, your supervisor's cooperation, and any medical records you have so far.
ECOMP will generate an OWCP claim number (sometimes called a file number). Write it down — every future form, medical record, and letter you submit needs this number.
Step 5: Keep filing follow-up documentation
Filing the CA-1 is just the beginning. As treatment continues, your claim file needs to be updated regularly. The most common follow-up forms are:
- CA-17 (Duty Status Report) — updates on your work restrictions, ideally completed at every medical visit
- CA-20 (Attending Physician's Report) — detailed clinical progress report, typically requested by the claims examiner
- CA-16 (Authorization for Examination) — used when your supervisor authorizes the first 60 days of treatment
Common mistakes that get claims denied
- Delayed reporting — waiting days or weeks before notifying a supervisor.
- Weak causation statements in the medical record — no clear link between the injury and a work event.
- Incomplete CA-17 forms — missing work restrictions or vague language like "light duty."
- Seeing a provider who isn't familiar with OWCP documentation requirements.
- Not following up when ECOMP requests additional evidence — requests often have a 15-day response window.
How NuThera helps with OWCP CA-1 claims
NuThera is an OWCP-enrolled medical practice in Las Vegas and North Las Vegas. We see federal employees for initial injury evaluation, write causation statements to OWCP evidentiary standards, complete CA-17 and CA-20 forms at every visit, and coordinate care with nurse case managers and claims examiners.
If you've just been injured and need a CA-1 evaluation, call us at (725) 726-7914 — we schedule most new federal patients within 24–72 hours.
We can see you for your initial CA-1 evaluation, produce all required documentation during the visit, and give you everything you need to submit your claim through ECOMP. Call (725) 726-7914 or request an appointment online.
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