Filing Forms as an Injured Worker

COPYRIGHT © UNITED STATES DEPARTMENT OF LABOR. ALL RIGHTS RESERVED.

UNITED STATES DEPARTMENT OF LABOR

ECOMP

Filing Form CA-1, Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation

 

Use this form if you have sustained a traumatic injury on the job. A traumatic injury is a condition of the body caused by a specific event or incident, or series of events or incidents, within a single workday or shift. Examples of a traumatic injury include: a dog bite, motor vehicle accident or a slip and fall.

 

Click here to read or print a tutorial on filing a CA-1 in ECOMP.

 

Click here to view a video tutorial.