provided for this purpose. The report may be withheld until the employee returns to work when it appears he will not be absent for more than 3 days. The official superior shall also furnish the Bureau with a report of any investigation made and any other statements or data which may properly relate to the circumstances of the injury. If the injury need not be reported to the Bureau, the Form CA-1 and 2 shall be retained as a permanent record in the employee's personnel folder.

(b) In all cases reported, the Bureau shall be furnished with an immediate medical report from the attending physician. This report may be made: (1) On Part B of Form CA-16, Revised; (2) on Form CA-20, Attending Physician's Report; or (3) by narrative report on the physician's letterhead stationery.

(c) Other reports shall be submitted by the official superior and attending physician as described elsewhere in this part or at other times as may be required by the Bureau.

[36 F.R. 8936, May 15, 1971]

§ 1.4

Claim for compensation for disability.

(a) Compensation for disability will not be paid unless written claim therefor is made by the employee or by someone in his behalf within the time limit prescribed by the Act. If such claim is not submitted within 60 days after the injury, an explanation of the delay must accompany the claim. For any reasonable cause shown the Bureau may allow claim for compensation for disability to be made at any time within 1 year. (For further waiver of limitation provision see § 1.13.) For purposes of this subsection, a claim means any written document containing, or purporting to contain, words indicating an intent to claim compensation benefits under this Act. Claim may be filed by delivering it to the offices of the Bureau, or to any person designated by the Bureau to receive it. The employee's official superior is so designated to receive claims on behalf of the Bureau, and the injured employee should submit his claim to him for transmission to the Bureau unless special circumstances require a different procedure.

(b) Notwithstanding the filing of any document provided for by paragraph (a) of this section, no disability compensation shall be payable unless the employee completes the front of a Form CA-4 and submits it to his official superior. The em

ployee and his official superior shall complete the Form CA-4. The official superior also shall complete items 1-4 on the front of the attached Form CA-20 and insert the appropriate Bureau office address on the back thereof, and then detach the Form CA-20 and send it to the attending physician for completion and submission to the Bureau. The official superior shall promptly forward the completed Form CA-4 to the appropriate Bureau office. Unless otherwise specified, the appropriate Bureau office is that to which the Form CA-1 and 2 was submitted pursuant to § 1.2 and 1.3.

(c) Whenever an employee, as a result of an injury in the performance of duty, is disabled with loss of pay for more than 3 days his official superior shall furnish to him Form CA-4 for the purpose of claiming compensation, and shall advise him of his rights under the Act. (d) Claims for compensation for permanent disability which involve the loss, or loss of use, of a member or function of the body as listed in 5 U.S.C. 8107, shall be filed on Form CA-4 which the official superior shall furnish.

(e) Claims for serious disfigurement of the face, head, or neck shall be made on Form CA-4 (which shall be furnished by the official superior) and supplemented by Form CA-4B (which shall be furnished by the Bureau). If any compensation has been paid or is payable for any such prior disfigurement the date of such prior injury, the amount of compensation and the source thereof shall be stated in the said CA-4, or as supplemented by Form CA-4B.

(f) Form CA-4 shall be filed with the Bureau upon termination of disability if the duration of disability should be less than 10 days, or at the expiration of 10 days from the date pay stops if disability continues beyond that date.

(g) A valid claim for disability compensation may be filed within the time limit specified by the Act by someone acting on behalf of the employee or his estate.

(h) An employee may decide to take sick and/or annual leave in order to avoid possible interruption of income. If he does and his claim for compensation on Form CA-4 is subsequently approved, he may arrange with his employing establishment to "buy back" the leave used and have it reinstated to his account. The compensation to which he is entitled would pay a part of the "buy back" cost

and the employee would have to pay the balance. The amount the employee will be required to pay will depend on several factors such as length of the period of disability and the amount of Federal income tax which is withheld from his leave pay. The establishment can help the employee determine how much the "buy back" cost will be in his case. If an employee uses leave and decides to buy it back, he may file a claim for compensation on Form CA-4 while still in leave status. In the interim, the Bureau will consider and resolve any points at issue. No compensation payments may be paid, however, while the employee is still ir leave status. Arrangements to "buy back" leave must be made with the employing establishment. The establishment may make arrangements to have compensation paid directly to its account for the part of the "buy back" cost which is covered.

[36 F.R. 8936, May 15, 1971]

§ 1.5 Application for augmented compensation for disability.

(a) While the disabled employee has one or more dependents as defined in 5 U.S.C. 8110, his basic compensation for disability shall be augmented as provided in said section. The Bureau's Form CA-4 includes an application for such augmented compensation.

(b) Augmented compensation payable while a disabled employee has an unmarried child as defined by 5 U.S.C. 8110, which would otherwise terminate because the child reaches the age of 18, may be continued while the child is a student regularly pursuing a full-time course of study or training as defined by § 1.14(c).

(c) The disabled employee claiming augmented compensation under this section shall furnish, when so required by the Bureau, proof of continuing entitlement to augmented compensation as set forth in paragraph (a) of this section.

(d) The disabled employee receiving augmented compensation under this section shall promptly notify the Bureau of the happening of any event which would no longer entitle him to augmented compensation under the provisions of 5 U.S.C. 8110. Any checks or payments received after the occurrence of such event shall be returned promptly to the office from which it was received. [32 F.R. 2699, Feb. 9, 1967, as amended at 36 F.R. 8937, May 15, 1971]

§ 1.6 Report of termination of disability or return to work.

In all cases reported to the Bureau the official superior is required to notify the Bureau immediately when the injured employee returns to work or when his disability ceases. Form CA-3, Report of Termination of Total or Partial Disability, is provided for this purpose. It shall be used unless a report of termination of disability is made to the Bureau on Form CA-1 and 2, or CA-4, or in some other

manner.

[36 F.R. 8937, May 15, 1971]

§ 1.7

Recurrence of disability for work. (a) The official superior shall notify the Bureau if, after the employee returns to work, the same injury causes him to stop work again. This report shall be made on Form CA-2a, Notice of Recurrence of Disability. If the injured employee does not return to duty prior to the date this form is submitted to the Bureau, an additional report shall be made on Form CA-3 or in a similar manner when he either returns to work or his disability ceases.

(b) If the employee wishes to claim compensation as a result of the recurrence, a Form CA-4 is required, whether or not one was submitted following the original injury. All parts of the Form CA-4, plus a medical report on Form CA20 (or in narrative form), must be completed.

[36 F.R. 8937, May 15, 1971]

§ 1.8

Claims for continued compensation for disability.

Form CA-8, Claim for Continuance of Compensation on Account of Disability, is provided to claim compensation for additional periods of time after Form CA-4 is submitted to the Bureau. While disability continues, claim on this form shall be submitted every 2 weeks until the employee is otherwise instructed by the Bureau. The injured employee shall complete and sign the face of the form and his attending physician shall complete the medical certificate on the reverse side of the form. The form must then be delivered to the official superior who will complete the Certificate of Employee's Official Superior which also appears on the reverse side of the form. The form shall then be sent to the Bureau.

[36 F.R. 8937, May 15, 1971]

§ 1.9 Employees' obligation to return to work or to seek work when able. When total disability to perform work ceases and the employee is able to perform a part of his usual duties, or to perform work of a different nature, he must seek such suitable work as he is able to perform, either in Government or private employment, unless it has already been provided for him, and shall accept such work or offer of work secured for him. An employee who has not been regularly employed during the period covered by his claim, and who is only partially disabled, shall state in his claim what efforts he has made to obtain suitable employment, giving the names and addresses of persons or concerns whom he has applied for work. If he has not been offered or has not been able to secure work which he is able to do, he shall so state. If a partially disabled employee refuses to seek suitable work or refuses or neglects to work after suitable work is offered to, procured by, or secured for him, he shall not be entitled to any compensation.

[14 F.R. 7375, Dec. 9, 1949]

§ 1.10

to

Affidavit or report by employee of employment and earnings. The Bureau may require a partially disabled employee to submit an affidavit or other report as to his earnings either from employment or self-employment. If such individual, when required, fails to submit such affidavit or report or if in such affidavit or report the employee knowingly omits or understates any part of such earnings or remuneration he shall forfeit his right to compensation with respect to any period for which such affidavit or report was required to be made, and any compensation already paid may be recovered by deducting the amount thereof from compensation payable to him or otherwise according to law. Earnings from employment referred to in this section or elsewhere in this part means gross earnings or wages before any deductions whatsoever have been taken out of such wages, and include the value of subsistence, quarters, or other advantages received in kind as part of the wage or remuneration. [36 F.R. 8937, May 15, 1971]

of a member or function of the body as provided in 5 U.S.C. 8107) in his lifetime and dies from causes other than the injury before the entire amount due for such schedule is paid, claim for such unpaid balance may be made on Form CA-5A pursuant to § 1.13 as follows-by the widow, widower, or child in the proportions and upon the conditions and in the order named in 5 U.S.C. 8109 (a) (3) (D). If there is no surviving widow, widower, or child, then a claim on Form CA-5A may be made pursuant to § 1.13 in the proportions and upon the conditions and in the order as follows-to the parent or parents wholly dependent for support upon the decedent. If there is no parent wholly dependent then to a partially dependent parent or parents in equal shares with any partially dependent brother, sister, grandparent or grandchild. If one or more of the brothers, sisters, grandparents, or grandchildren are wholly dependent and a parent or parents and other brothers, sisters, grandparent, or grandchildren are partially dependent then 75 percent will be awarded to such wholly dependent person or persons equally and the balance divided equally among such partially dependent persons. In the event there is no surviving widow, widower, child, or wholly dependent parent, and the foregoing apportionment of such compensation would result in injustice, the Bureau may, in its discretion, make such other apportionment as justice would require.

(b) The right of any surviving beneficiary referred to in paragraph (a) of this section shall be conditioned upon his being alive to receive any payment and any such beneficiary shall not have a vested right to any such payment. Claims for continuance of payments under 5 U.S.C. 8109 shall be made in like manner and governed by § 1.14.

(c) The entitlement of any beneficiary to payments under 5 U.S.C. 8109 shall cease upon the happening of any event which would terminate such right under 5 U.S.C. 8133. The termination of such right shall be governed by § 1.15. In the event of any reapportionment made necessary by such termination prompt notification shall be made to the Bureau in accordance with § 1.16.

(d) As to the disposition of any balance not paid under the foregoing paragraphs see § 1.17(b) "Burial Expenses". [14 F.R. 7375, Dec. 9, 1949, as amended at 35 F.R. 1285, Jan. 31, 1970]

§ 1.12 Report of death.

When an employee dies because of a personal injury sustained while in the performance of duty or disease contracted as a result of the employment, the official superior shall immediately report the fact to the Bureau by telegraph or telephone. Also, the official superior shall promptly send the Bureau a Report of Death on Form CA-3 (see lower portion of that form). This shall be accompanied by the Official Superior's Report of Injury on Form CA-1 and 2 (Back) if that report was not previously submitted. The official superior shall also complete items 1 through 6 on the front of Form CA-1 and 2 to insure identification of the decedent.

[36 F.R. 8937, May 15, 1971]
§ 1.13
fits.

Original claims for death bene

If the death of an employee results from an injury any person entitled to claim compensation as one of the beneficiaries enumerated in 5 U.S.C. 8133 may file a claim for compensation, within the limit of time of 1 year after death prescribed in the said act. See 5 U.S.C. 8122. Form C.A. 5 is provided by the Bureau for that purpose, and should be executed as provided therein. Such claim may be filed by delivering it at the office of the Bureau, or to any person designated by the Bureau to receive it. The deceased employee's former official superior is so designated to receive such claims on behalf of the Bureau, and the person claiming benefits should submit the claim to such former official superior, unless special circumstances require a different procedure. The official superior should when it is practicable furnish to all persons likely to be entitled to compensation for death of an employee Form C.A. 5 with information as to the use of the form for making claim for compensation and the procedure in respect of filing such form, advising the Bureau of such fact. The furnishing of assistance in preparing such form or in obtaining evidence relating to the claim shall be without charge by the official superior. Any claim or paper purporting to claim compensation on account of death, submitted to the deceased employee's former official superior, shall be transmitted promptly to the Bureau. No compensation shall be paid on account of death if it is not so claimed within 1 year after the death. Failure to give notice of injury or file claim for compen

sation for disability or death within the time and in the manner described in §§ 1.2, 1.4, and in this section shall not bar the claim of any person thereunder if such claim is filed within 5 years after the injury or death if the Bureau shall find (a) that such failure was due to circumstances beyond the control of the person claiming benefits, or (b) that such person has shown sufficient cause or reason in explanation thereof, and material prejudice to the interest of the United States has not resulted from such failure.

[35 F.R. 1285, Jan. 31, 1970]

§ 1.14

Continuance of compensation on account of death.

(a) A beneficiary to whom an award of compensation has been made on account of an employee's death, pursuant to his original claim, shall submit to the Bureau additional claims for continuance of compensation to be filed once each year. Form CA-12 is provided by the Bureau for this purpose, and will be sent to the beneficiary when an additional claim is required. Failure to submit the form may result in suspension of compensation.

(b) A beneficiary to whom an award of compensation has been made for a child, brother or sister, or grandchild after he has reached the age of 18 because he continues to regularly pursue a full-time course of study or training shall furnish, when so required by the Bureau, proof of continuing entitlement to such compensation. Failure to submit the proof may result in suspension of compensation.

(c) Compensation payable on behalf of a child, brother or sister, or grandchild under 5 U.S.C. 8133, which would otherwise be terminated because such individual reached 18 years of age, shall be continued if he is a student at the time he reaches age 18 for so long a period as he continues as a student or until he marries. He shall be considered a student while he is regularly pursuing a full-time course of study or training at an institution which is

(1) A school or college or university operated or directly supported by the United States, or by any State or local government or political subdivision thereof, or

(2) A school or college or university which has been accredited by a State or by a State-recognized or nationally recognizance accrediting agency or body, or

(3) A school or college or university not so accredited but whose credits are accepted, on transfer, by not less than three institutions which are so accredited, for credit on the same basis as if transferred from an institution so accredited,

or

(4) A technical, trade, vocational, business, or professional school accredited or licensed by the Federal, or a State government or any political subdivision thereof providing courses of not less than 3 months duration, that prepare the child for a livelihood in a trade, industry, vocation, or profession; but not after he reaches the age of 23 or has completed 4 years of education beyond the high school level, except that, where his 23d birthday occurs during a semester or other enrollment period, he shall continue to be considered a student until the end of such semester or other enrollment period. A child shall not be deemed to have ceased to be a student (1) during any interim between school years if the interim does not exceed 4 months and he shows to the satisfaction of the Bureau that he has a bona fide intention of continuing to pursue a full-time course of education or training during the semester or other enrollment period immediately following the interim or (2) during periods of reasonable duration during which, in the judgment of the Bureau, he is prevented by factors beyond his control from pursuing his education. [32 F.R. 2699, Feb. 9, 1967]

§ 1.15 Termination of right to compensation for death.

When a beneficiary who is receiving compensation on account of death ceases to be entitled to such compensation by reason of marrying, reaching the age of 18, ceasing to be dependent, or ceasing to be a student, or becoming capable of selfsupport, he or someone in his behalf shall immediately notify the Bureau of the fact. If such beneficiary receives a check which includes payment of compensation for any period after the date when he ceased to be entitled to it, for any of the above reasons, he shall promptly return it to the office from which it was received. [32 F.R. 2700, Feb. 9, 1967]

ment of the amount of compensation payable to one or more of them, such beneficiary, or someone on his behalf, shall promptly notify the Bureau giving the date of the event and all essential facts. Such reapportionment may become necessary when any such beneficiary dies or marries, when a child, grandchild, brother, or sister of the decedent becomes 18 years old or if over 18, becomes capable of self-support or ceases to be a student, or when a parent or grandparent of the decedent ceases to be dependent, or when a posthumous child of the decedent is born.

[32 F.R. 2700, Feb. 9, 1967] § 1.17 Burial expenses.

(a) When the death of an employee results from an injury occurring within the time limitations prescribed in said act, the Bureau may in its discretion pay reasonable burial expenses in an amount not to exceed $800: Provided, That if any part of the burial expenses has been paid by another department of the Government, the amount paid by the Bureau shall not exceed the difference between the amount so paid by the other department and $800. Payment will be made to the duly appointed executor or administrator of the estate on the submission of competent evidence of his appointment as such. If there is no legal representative of the estate, the Bureau may upon application pay to the undertaker the amount of any burial expenses remaining unpaid, not exceeding the amount payable by the Bureau, or may upon application reimburse the person who has paid such burial expenses and is entitled to such reimbursement.

(b) When the death of an employee results from causes other than the injury and there is an unpaid balance of a schedule award due pursuant to 5 U.S.C. 8107 and there is no survivor entitled to the same and no burial allowance is payable under 5 U.S.C. 8134, then such amount, subject to the limitations of 5 U.S.C. 8134 and 8109 shall be paid to reimburse any person or persons equitably entitled thereto to the extent and in proportion that they shall have paid the expenses of burial of such individual. [35 F.R. 1285, Jan. 31, 1970]

§ 1.18 Embalming and transportation of bodies of deceased employees. (a) In the case of an employee whose home is within the United States, if his death resulting from an injury caused by