6dc185d5__KNOW____Workers_Compensation___4
[0] CA-16 [1] Medical Authorization [2] A guarantee that the agency will pay for a maximum of 60 days of medical care (diagnostic and treatment). [3] The employee should secure form within 4 days of injury. **The agency has no obligation to authorize the CA-16 after four days have elapsed, the employee must then appeal to the DOL claims examiner. [4] 
The agency must provide form to employee within 4 days of the injury, or from report of injury. An authorized official of the agency must sign form. ** If the employee fails to secure form within 4 days, the agency has no obligation to authorize the CA-16 and the employee must appeal to the DOL claims examiner.
DID YOU KNOW?? (Workers Compensation)
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