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What if the parties to the claim are unable to resolve their dispute(s) informally?

Posted on: November 5, 2012
If the parties are unable to resolve their dispute(s) informally, they may request referral of the claim to the Office of Administrative Law Judges (OALJ) for formal hearing. Decisions rendered by the administrative law judge may be appealed to the Benefits Review Board and thereafter, depending on where the claim is administered, to the U.S. District Court or to the U.S. Court of Appeals.

What services do the OWCP district offices provide?

Posted on: November 5, 2012
The OWCP district office monitors the payment of compensation and medical care to ensure compliance with the provisions of the Act. The district office staff also provides technical assistance to employers, insurance carriers, and claimants for the prompt delivery of benefits. In case of claim disputes, district office claims examiners conduct informal conferences to help the parties resolve their disputes by way of mutual agreement or compromise without formal litigation. The district director has authority to approve settlements and issue compensation awards in undisputed claims.

What should an employer do upon notice of an employee’s injury?

Posted on: November 5, 2012
The employer should notify its insurance carrier or, if it is self insured, its claims administrator, as soon as it has knowledge of an injury. Medical treatment, if needed, should be authorized immediately. An Employer’s First Report of Injury, Form LS-202, must be filed with the OWCP district office having jurisdiction within 10 days of the injury if it causes loss of one or more work shifts. The Form LS-202 may be filed electronically. For information and instructions, go here. Additional forms and notices, as well as medical reports, should be filed with the OWCP as regulations require.

How do I obtain death benefits?

Posted on: November 5, 2012
Give written notice of the employee’s death to the employer on Form LS-201 (Notice of Employee’s Injury or Death) within 30 days. File a written claim for compensation on Form LS-262 (Claim for Death Benefits) with the OWCP district office having jurisdiction of your claim within one year after the date of the employee’s death.

How do I file a claim for compensation based on my injury?

Posted on: November 5, 2012
File a written claim for compensation with the OWCP district office having jurisdiction of your claim on Form LS-203 (Employee’s Claim for Compensation) within one year after the date of injury or last payment of compensation, whichever is later. The time for filing claims in certain occupational disease cases has been extended to two years.

How do I give notice of my injury to my employer?

Posted on: November 5, 2012
Give written notice of your injury to your employer on Form LS-201 (Notice of Employee’s Injury or Death) within 30 days. Additional time is provided for certain hearing loss and occupational disease claims.

How do I obtain compensation for my disability?

Posted on: November 5, 2012
If you are disabled more than 3 days, contact your employer or the insurance company for payment of compensation, which is payable 14 days after your employer has knowledge of injury.

How do I obtain medical treatment for my injuries?

Posted on: November 5, 2012
If you need medical treatment for your work injury, ask your employer to authorize treatment by a doctor of your choice. If it is an emergency or if you are unable to contact your employer, go to the nearest hospital or physician, but be sure to let your employer know as soon as possible.

What should I do if I get injured at work?

Posted on: November 5, 2012
You should notify your employer immediately. If you need medical treatment, ask your employer to authorize treatment by a doctor of your choice.

Are there any payment provisions that are specific to aliens and non-U.S. residents?

Posted on: November 5, 2012
Yes. There are two such provisions:

a) Cases involving aliens and non-U.S. residents can be resolved by commuting benefits paid for permanent disability and death. In such cases, a one-time lump sum payment may be issued by the employer/carrier representing half of the present value of future compensation as determined by the OWCP district director. Medical benefits may not be commuted.

b) Death benefits may be paid only to the surviving spouse or child or children, or if no surviving spouse or child or children, to dependent parents.

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