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Assistance with proper filing of OWCP Claim(s) Assistance with Re-opening closed claim(s) Assistance with proper filing of Social Security Disability Benefits Assistance with proper filing of Disability Retirement Assistance with Scheduled Award Compensation

Checklist Federal Workers Compensation Form CA-1: Fed Work Comp With Suggestions Form CA-2: Fed Work Comp With Suggestions Form CA- 2a: Fed Work Comp With Suggestions Form CA-7: Fed Work Comp With Suggestions Medical Travel Payments

DTR Consulting & Associates

DTR Consulting & Associates

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Full Name *

Phone *

Email *

Survey

Do you have an accepted OWCP claim or claims? *

YES

No

Survey

What do you need assistance with?

OWCP claim or claims

Schedule Award

Retirement Disability

Social Security Disability

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Work related Injury

Work related Injury

Head
Neck
Shoulders
Elbow
Wrist
Hand
Abdomen Leg
Knee
foot
Eyes
Ears
Stress/Anxiety
Other
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Are you currently working? *

YES

NO

Survey

Are you currently off work and receiving OWCP compensation?

YES

NO

Survey

Are you currently retired? *

YES

NO

Survey

Have you ever received a Schedule Award? *

YES

NO

Survey

What is the best time to call you?

Morning

Afternoon

Eveninng

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