OWCP Form CA-20: Attending Physician's Report
Form CA-20 is the attending physician's report: your doctor's account of your diagnosis, how the injury happened, the treatment plan and your ability to work.
Who completes it
Your treating physician completes it. Your agency may complete the top section with claim information.
When to use Form CA-20
- OWCP or your agency requests a medical report on your claim.
- Your claim needs medical evidence of diagnosis and causation.
- Your treatment or work capacity has changed.
Deadlines and tips
- OWCP gives heavy weight to the attending physician's opinion on causation.
- Make sure your doctor has an accurate history of how the injury happened.
- A CA-20 is often paired with a narrative report for complex claims.
How Injury Federal Clinic helps
Our medical doctors and providers complete CA-20s and supporting narratives that clearly connect your diagnosis to your federal employment, which is what OWCP needs to accept and continue your claim.
Common questions
Do I need to bring a CA-20 to my appointment?
If OWCP or your agency gave you one, bring it. If not, our team can provide the reports your claim needs.
Who should complete the CA-20?
Your attending physician, meaning the doctor treating you for the work injury.
This guide is general information, not legal advice. OWCP and your claims examiner make all coverage decisions; check current instructions on the U.S. Department of Labor website.
