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Routine: OOPSPC70

Package: Asists

Routine: OOPSPC70


Information

OOPSPC70 ;HIRMFO/YH-Instructions for Completing Form CA-1 (PART 1) ;5/7/98

Source Information

Source file <OOPSPC70.m>

Entry Points

Name Comments DBIA/ICR reference
EN1 ;RESET PRINTRA, SET PAGE SIZE (PORTRAIT) AND PCL PICTURE FRAME 8 1/2"*11"

Interaction Calls

Name Line Occurrences
Function Call: WRITE
  • Prompt: !,$CHAR(27),"E",$CHAR(27),"&l1E",$CHAR(27),"*c5952x7920Y",$CHAR(27),"%0B",$CHAR(27),"&s1#C"
  • Line Location: EN1+1
Function Call: WRITE
  • Prompt: !,"IN;SP1;IP;PW.3;SC0,22,0,29,1;"
  • Line Location: EN1+2
Function Call: WRITE
  • Prompt: !,"DT#,1;SD1,277,2,1,4,10,5,0,6,2,7,23;PU.5,28.3;LBInstructions for Completing Form CA-1#;PU.5,28.1;PD21,28.1;"
  • Line Location: EN1+3
Function Call: WRITE
  • Prompt: !,"SD1,277,2,1,4,9,5,0,6,0,7,16901;PU.5,27.6;LBComplete all items on your section of the form. If additional space is required to #;"
  • Line Location: EN1+4
Function Call: WRITE
  • Prompt: !,"LBexplain or clarify any point, attach a supplemental#;"
  • Line Location: EN1+5
Function Call: WRITE
  • Prompt: !,"PU.5,27.3;LBstatement to the form. Some of the items on the form which may require #;"
  • Line Location: EN1+6
Function Call: WRITE
  • Prompt: !,"LBfurther clarification are explained below.#"
  • Line Location: EN1+7
Function Call: WRITE
  • Prompt: !,"FT10,10;PU.5,26.5;RA21,27;EA21,27;PU.6,26.6;LBEmployee (Or person acting on the employees' behalf)#;"
  • Line Location: EN1+8
Function Call: WRITE
  • Prompt: !,"PU.5,26.1;SD1,277,2,1,4,9,5,0,6,2,7,23;LB13) Cause of Injury#;"
  • Line Location: EN1+9
Function Call: WRITE
  • Prompt: !,"PU11,26.1;LB15) Election of COP/Leave#;SD1,277,2,1,4,9,5,0,6,0,7,16901;"
  • Line Location: EN1+10
Function Call: WRITE
  • Prompt: !,"PU.5,25.7;LBDescribe in detail how and why the injury occurred. Give#;"
  • Line Location: EN1+11
Function Call: WRITE
  • Prompt: !,"PU11,25.7;LBIf you are disabled for work as a result of this injury and filed#;"
  • Line Location: EN1+12
Function Call: WRITE
  • Prompt: !,"PU11,25.4;LBCA-1 within thirty days of the injury, you may be entitled to receive#;"
  • Line Location: EN1+13
Function Call: WRITE
  • Prompt: !,"PU.5,25.4;LBappropriate details (e.g.: if you fell, how far did you fall and in#;"
  • Line Location: EN1+14
Function Call: WRITE
  • Prompt: !,"PU11,25.1;LBcontinuation of pay (COP) from your employing agency. COP is#;"
  • Line Location: EN1+15
Function Call: WRITE
  • Prompt: !,"PU11,24.8;LBpaid for up to 45 calendar days of disability, and is not charged#;"
  • Line Location: EN1+16
Function Call: WRITE
  • Prompt: !,"PU11,24.5;LBagainst sick or annual leave. If you elect sick or annual leave#;"
  • Line Location: EN1+17
Function Call: WRITE
  • Prompt: !,"PU11,24.2;LByou may not claim compensation to repurchase leave used#;"
  • Line Location: EN1+18
Function Call: WRITE
  • Prompt: !,"PU11,23.9;LBduring the 45 days of COP entitlement.#;"
  • Line Location: EN1+19
Function Call: WRITE
  • Prompt: !,"PU.5,25.1;LBwhat position did you land?)#;"
  • Line Location: EN1+20
Function Call: WRITE
  • Prompt: !,"SD1,277,2,1,4,9,5,0,6,2,7,23;PU.5,24.5;LB14) Nature of Injury#;SD1,277,2,1,4,9,5,0,6,0,7,16901;"
  • Line Location: EN1+21
Function Call: WRITE
  • Prompt: !,"PU.5,24.1;LBGive a complete description of the condition(s) resulting from#;"
  • Line Location: EN1+22
Function Call: WRITE
  • Prompt: !,"PU.5,23.8;LByour injury. Specify the right or left side if applicable (e.g.,#;"
  • Line Location: EN1+23
Function Call: WRITE
  • Prompt: !,"PU.5,23.5;LBfractured left leg: cut on right index finger).#;"
  • Line Location: EN1+24
Function Call: WRITE
  • Prompt: !,"PU.5,22.6;RA21,23.1;EA21,23.1;SD1,277,2,1,4,9,5,0,6,2,7,23;PU.6,22.7;LBSupervisor#;SD1,277,2,1,4,9,5,0,6,0,7,16901;"
  • Line Location: EN1+25
Function Call: WRITE
  • Prompt: !,"PU.5,22.1;LBAt the time the form is received, complete the receipt of notice of#;"
  • Line Location: EN1+26
Function Call: WRITE
  • Prompt: !,"PU11,22.1;SD1,277,2,1,4,9,5,0,6,2,7,23;LB33) First date medical care received#;SD1,277,2,1,4,9,5,0,6,0,7,16901;"
  • Line Location: EN1+27
Function Call: WRITE
  • Prompt: !,"PU.5,21.8;LBinjury and give it to the employee. In addition to completing#;"
  • Line Location: EN1+28
Function Call: WRITE
  • Prompt: !,"PU.5,21.5;LBitems 17 through 39, the supervisor is responsible for obtaining#;"
  • Line Location: EN1+29
Function Call: WRITE
  • Prompt: !,"PU11,21.6;LBThe date of the first visit to the physician listed in item 31.#"
  • Line Location: EN1+30
Function Call: WRITE
  • Prompt: !,"PU.5,21.2;LBthe witness statement in item 16 and for filling in the proper codes#;"
  • Line Location: EN1+31
Function Call: WRITE
  • Prompt: !,"PU.5,20.9;LBin shaded boxes a, b, and c on the front of the form. If medical#;"
  • Line Location: EN1+32
Function Call: WRITE
  • Prompt: !,"SD1,277,2,1,4,9,5,0,6,2,7,23;PU11,20.8;LB36) If the emloying agency controverts continuation#;"
  • Line Location: EN1+33
Function Call: WRITE
  • Prompt: 1,"PU11.5,20.4;LBof pay, state, the reason in detail#;"
  • Line Location: EN1+34
Function Call: WRITE
  • Prompt: !,"SD1,277,2,1,4,9,5,0,6,0,7,16901;PU.5,20.6;LBexpense or lost time is incurred or expected, the completed form#;"
  • Line Location: EN1+35
Function Call: WRITE
  • Prompt: !,"PU.5,20.3;LBshould be sent to OWCP within 10 working days after it is received.#;"
  • Line Location: EN1+36
Function Call: WRITE
  • Prompt: !,"PU.5,19.5;LBThe supervisor should also submit any other information or#;"
  • Line Location: EN1+37
Function Call: WRITE
  • Prompt: !,"PU.5,19.2;LBevidence pertinent to the merits of this claim.#;"
  • Line Location: EN1+38
Function Call: WRITE
  • Prompt: !,"PU11,19.9;LBCOP may be controverted (disputed) for any reason; however,#;"
  • Line Location: EN1+39
Function Call: WRITE
  • Prompt: !,"PU11,19.6;LBthe employing agency may refuse to pay COP only if the#;"
  • Line Location: EN1+40
Function Call: WRITE
  • Prompt: !,"PU11,19.3;LBcontroversion is based upon one of the nine reasons given#;"
  • Line Location: EN1+41
Function Call: WRITE
  • Prompt: !,"PU11,19;LBbelow:#"
  • Line Location: EN1+42
Function Call: WRITE
  • Prompt: !,$CHAR(27),"&r0F",$CHAR(27),"%0A"
  • Line Location: EN1+44
Info |  Source |  Entry Points |  Interaction Calls