The Architect of the Capitol is committed to ensuring the timely filing and effective case management of all reported work-related injury claims.
The Federal Employee’s Compensation Act (FECA) provides compensation benefits to Federal civilian employees for disability due to personal injury or disease while in the performance of duty. The FECA also provides for payment of benefits to dependents if the injury or disease causes an employee’s death.
This website has been established to provide information and assistance to AOC employees who file workers’ compensation injuries and illnesses claims with the agency. The website describes the procedures employees should follow when filing for benefits under the FECA. Our objective is to assist employees in submitting timely claims for compensation in order to receive timely benefits from OWCP, and to monitor the medical recovery of our employees following job-related injuries and illnesses. The AOC encourages the speedy recovery of our employees from job related injuries and illnesses and their prompt return to work.
The Workers’ Compensation Program Unit, located in the AOC’s Human Capital Management Division, is responsible for the administration of the AOC’s Workers’ Compensation Program for our agency. It ensures the program is administered in accordance with the FECA and Federal Regulations. The office provides technical guidance to employees, managers, supervisors, and staff on policies and procedures related to injury claims management. The Workers’ Compensation Program Unit coordinates all activities associated with the processing of all injury and disease claims sustained in the AOC.
In each jurisdiction, designated Field Coordinators are available to assist AOC employees, day or night, in filing injury or disease claims. You will find in this website information that you should follow if you need assistance in filing a claim, securing medical treatment or getting your medical bills paid.
If you have any questions regarding the Architect of the Capitol's Workers’ Compensation Program, please contact the Workers’ Compensation Program Unit at 202.226.2547 for assistance.
Please call 202.226.2548 if you have questions regarding the AOC’s Workers’ Compensation Program.
Department of Labor Resources:
Information on Work-related Injuries or Illnesses [2]
OWCP Customer Assistance Materials [3]
Laws and Related Materials [4]
ACS Web Bill Processing Portal [5]
AOC Injury and Illness Resources:
Emergency Workers' Compensation Packet Overview [6] (doc)
General Information on the FECA Program [7] (pdf)
Highlights and Facts [8] (pdf)
Frequently Asked Questions [9] (pdf)
Responsibilities for Field Coordinators [10] (pdf)
Responsibilities for Employees [11] (pdf)
Responsibilities for Supervisors [12] (pdf)
Workers' Compensation
CA-1 Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation [13]
Can be initiated by employee or person acting on employee's behalf.
CA-17 Duty Status Report [14]
Use for the purpose of obtaining a duty status report for named employee.
CA-2 Federal Employee's Notice of Occupation Disease and Claim for Compensation [13]
Can be completed by employee or person acting on employee's behalf.
CA-20 Attending Physician's Report [15]
Attending Physician's Report
CA-2a Notice of Employee's Recurrence of Disability and Claim for Pay/Compensation [16]
For claiming a reocurrence of disability for an occupational illness
CA-35 Evidence Required in Support of a Claim for Occupational Disease [17]
CA-35 Evidence Required in Support of a Claim for Occupational Disease
CA-5 Claim for Compensation by Widow, Widower and/or Children [18]
Claim form should be completed and filed by the widow or widower for self and surviving children. If there is no surviving widow or widower, the children's guardian completes the claim form.
CA-5b Claim for Compensation by Parents, Brothers, Sisters, Grandparents or Grandchildren [19]
Form should be completed and filed by the deceased employee's parents, grandparents or representative (custodian or guardian) of minor brothers, sisters or grandchildren.
CA-6 Official Superior's Report of Employee's Death [20]
Report of a Federal employee's death as a result of injury in performance of duty or because of an employment-related disease
CA-7 Claim for Compensation on Account of Traumatic Injury or Occupational Disease [21]
For use if employee does not qualify for continuation of pay (for 45 days) or if employee reaches maximum improvement and claims a schedule award
OWCP-1500a: Health Insurance Claim Form [22]
Health Insurance Claim Form
Links:
[1] http://owcp.dol.acs-inc.com/portal/acsContactInfo.do
[2] http://www.dol.gov/owcp/dfec/regs/compliance/ca-11.htm
[3] http://www.dol.gov/owcp/contacts/washingtondc/poc.htm
[4] http://www.dol.gov/owcp/dfec/index.htm
[5] http://owcp.dol.acs-inc.com/portal/main.do
[6] http://www.aoc.gov/sites/default/files/Emergency-Workers-Compensation-Policy-3.doc
[7] http://www.aoc.gov/sites/default/files/WC-General-Information-on-the-FECA-Program.pdf
[8] http://www.aoc.gov/sites/default/files/WC-Highlights-and-Facts.pdf
[9] http://www.aoc.gov/sites/default/files/WC-Frequently-Asked-Questions.pdf
[10] http://www.aoc.gov/sites/default/files/WC-Responsibilities-for-Field-Coordinators.pdf
[11] http://www.aoc.gov/sites/default/files/WC-Responsibilities-for-Employees.pdf
[12] http://www.aoc.gov/sites/default/files/Responsibilities-for-Supervisors.pdf
[13] http://www.aoc.gov/sites/default/files/CA-2.pdf
[14] http://www.aoc.gov/sites/default/files/ca-17.pdf
[15] http://www.aoc.gov/sites/default/files/CA-20.pdf
[16] http://www.aoc.gov/sites/default/files/CA-2a.pdf
[17] http://www.aoc.gov/sites/default/files/ca-35.pdf
[18] http://www.aoc.gov/sites/default/files/ca-5.pdf
[19] http://www.aoc.gov/sites/default/files/ca-5b.pdf
[20] http://www.aoc.gov/sites/default/files/CA-6.pdf
[21] http://www.aoc.gov/sites/default/files/ca-7.pdf
[22] http://www.aoc.gov/sites/default/files/OWCP-1500.pdf