Form CA-20 Attending Physician's Report

What Is Form CA-20?

This is a legal form that was released by the U.S. Department of Labor - Office of Workers' Compensation Programs on August 1, 2014 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form CA-20?A: Form CA-20 is Attending Physician's Report.

Q: Who is the intended recipient of Form CA-20?A: Form CA-20 is used for reporting the medical condition of an injured employee to their employer and workers' compensation insurance carrier.

Q: What information is required in Form CA-20?A: Form CA-20 requires information about the employee's medical condition, diagnosis, treatment, restrictions, and expected duration of disability.

Q: Who fills out Form CA-20?A: Form CA-20 is filled out by the employee's attending physician or healthcare provider.

Q: When should Form CA-20 be submitted?A: Form CA-20 should be submitted as soon as possible after the employee's injury or illness.

Q: Is Form CA-20 specific to a certain state?A: Yes, Form CA-20 is specific to California.

Q: Are there any fees associated with Form CA-20?A: There are typically no fees associated with submitting Form CA-20.

Q: Is Form CA-20 confidential?A: Yes, the information provided on Form CA-20 is confidential and protected by privacy laws.

Q: Can Form CA-20 be submitted electronically?A: Yes, Form CA-20 can often be submitted electronically.

Q: What should I do if I have questions about Form CA-20?A: If you have questions about Form CA-20, you should contact your employer or the state workers' compensation board.

Q: Is Form CA-20 used for short-term or long-term disability claims?A: Form CA-20 is typically used for short-term disability claims.