New PS Form 2499, Offer
of Modified Assignment (Limited Duty)
New PS
Form 2499, Offer of Modified Assignment (Limited
Duty), is effective October 1, 2007. The purpose of this form is to
do the following:
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Promote the timely offer of
available limited duty job assignments to injured employees.
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Facilitate service-wide
standardization of the method of documenting limited duty job offers.
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Promote and document
regulatory compliance with the Federal Employees’ Compensation Act (FECA)
requirement of timely issuance of limited duty job offers.
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Clarify the precise nature
of the limited duty work being offered to an injured employee,
including a description of the duties to be performed, specific
physical requirements, and special demands of the workload or unusual
working conditions.
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Identify the organization
offering the position and the location of the job.
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Document the date on which
the job will be available.
source: Postal Bulletin
What To Do...
In Case of Injury, obtain first aid or medical
treatment even if the injury is minor. While many minor injuries heal without
treatment, a few result in serious prolonged disability that could have been
prevented had the employee received treatment when the injury occurred.
For traumatic injuries, ask your employer to authorize medical treatment
on Form CA-16 BEFORE you go to the doctor. Take Form CA-16 when you go
to the doctor, along with Form OWCP-1500, which the doctor must use to submit
bills to OWCP. Your employer may authorize medical treatment for occupational
disease ONLY if OWCP gives prior approval.
Submit bills promptly, as bills for medical treatment may not be paid if
submitted to OWCP more than one year after the calendar year in which you received
the treatment or in which the condition was accepted as compensable.
Report Every Injury to your supervisor. Submit
written notice of your injury on Form CA-1 if you sustained a traumatic injury,
or Form CA-2 if the injury was an occupational disease or illness. (Forms CA-1
and CA-2 may be obtained from your employing agency or OWCP.)
Form CA-1 must be filed within 30 days of the date of injury to receive continuation
of pay (COP) for a disabling traumatic injury. COP may be terminated if medical
evidence of the injury- related disability is not submitted to your employer
within 10 workdays. YOU ARE RESPONSIBLE FOR ENSURING THAT SUCH MEDICAL EVIDENCE
IS SUBMITTED TO YOUR EMPLOYING AGENCY. Form CA-2 should also be filed within
30 days. Any claim which is not submitted within 3 years will be barred by statutory
time limitations unless the immediate superior had actual knowledge of the injury
or death within 30 days of occurrence.
Establish the Essential Elements of Your Claim.
You must provide the evidence needed to show that you filed for benefits in
a timely manner; that you are a civil employee; that the injury occurred as
reported and in the performance of duty; and that your condition or disability
is related to the injury or factors of your Federal employment. OWCP will assist
you in meeting this responsibility, which is called burden of proof, by requesting
evidence needed to fulfill the requirements of your claim.
File a Claim for Compensation. File Form CA-7,
Claim for Compensation on Account of Traumatic Injury or Occupational Disease,
if you cannot return to work because of your injury and you are losing (or expect
to lose) pay for more than three days. Give the form to your supervisor seven
to ten days before the end of the COP period, if you received COP. If you are
not entitled to COP, submit Form CA-7 when you enter or expect to enter a leave
without pay status. All wage loss claims must be supported by medical evidence
of injury-related disability for the period of the claim.
If you continue to lose pay after the dates claimed on Form CA-7, submit
Forms CA-8 Claim for Continuing Compensation on Account of Disability, through
your employer to claim additional compensation until you return to work or until
OWCP advises they are no longer needed. You are not required to use your sick
or annual leave before you claim compensation.
If you choose to use your leave, you may, with your agency's concurrence,
request leave buy-back by submitting Form CA-7 to OWCP through your employing
agency. Any compensation payment is to be used to partially reimburse your agency
for the leave pay. You must also arrange to pay your agency the difference between
the leave pay based on your full salary and the compensation payment that was
paid at 2/3 or 3/4 of your salary. Your agency will then recredit the leave
to your leave record.
Return To Work As Soon As your Doctor Allows You To Do
So. If your employing agency gives you a written description
of a light duty job, you must provide a copy to your doctor and ask if and when
you can perform the duties described. If your agency is willing to provide light
work, you must ask your doctor to specify your work restrictions. In either
case, you must advise your agency immediately of your doctor's instructions
concerning return to work, and arrange for your agency to receive written verification
of this information. COP or compensation may be terminated if you refuse work
which is within your medical restrictions without good cause, or if you do not
respond within specified time limits to a job offer from your agency.
In appropriate cases, OWCP provides assistance in arranging for reassignment
to lighter duties in cooperation with the employing agency. In addition, injured
employees have certain other specified rights under the jurisdiction of the
Office of Personnel Management, such as reemployment rights if the disability
has been overcome within one year.
Tell Your Family about the benefits
they are entitled to in the event of your death. For assistance in filing a
claim they may contact your employing agency's personnel office or OWCP.
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