6dc185d5__KNOW____Workers_Compensation___4
[0] CA-7 [1] Compensation for Wage Loss [2] Compensation for wage loss in the event of time loss for an occupational injury or illness, or upon cessation of COP. [3] Employee should obtain form from their supervisor on the 30th day of COP, or immediately in the event of an occupational injury wage loss. Employee should obtain information from their treating physician and to their supervisor as soon as possible. * Employee must disclose all family income within the household. ** If employee fails to file these timely, there will be a pay break. [4] 
Agency must file CA-7 within ten working days of receipt. Supervisor is responsible for providing CA-7 to employee on 30th day of COP. **Employee should not wait for supervisor to provide form.
DID YOU KNOW?? (Workers Compensation)
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