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OWCP · FORMAL DECISIONS · ADMINISTRATIVE REVIEW

Decisions & Appeals Center

An OWCP development letter asking for evidence is not the same thing as a formal denial. Once OWCP issues a formal adverse decision, the appeal rights attached to that decision become critical. FECA provides different review paths, and they do not all work the same way.

COMPARE APPEAL PATHSCLAIM ROADMAP
OverpaymentsLWECRecurrence vs. New InjuryReturn to WorkSecond Opinion / RefereeBefore a DenialAppeal PathsNew Evidence?ECABMedical EvidenceResource Center
OWCP RESOURCE SYSTEMResource CenterClaim RoadmapMedical EvidenceCA-35 EvidenceDisability & Wage LossReturn to WorkRecurrence vs. New InjurySecond Opinion / RefereeLWECDecisions & AppealsOverpayments
FIRST QUESTION

Did OWCP Ask for Evidence—or Issue a Formal Decision?

This distinction matters. A development letter generally gives the claimant an opportunity to supply missing factual or medical evidence before adjudication. A formal decision states the action OWCP is taking, explains the reasons, and provides administrative appeal rights.

01CLAIM FILEDOWCP receives the claim and supporting record.
02RECORD REVIEWThe claims examiner evaluates factual and medical sufficiency.
03DEVELOPMENTOWCP may request missing evidence before deciding the issue.
04FORMAL DECISIONOWCP explains the determination and reasons.
05REVIEW RIGHTSThe claimant evaluates the administrative review options attached to that decision.
Do not wait for a denial if OWCP has given you a development deadline. A request for additional evidence is an opportunity to strengthen the record before the formal decision is issued.
AFTER A FORMAL ADVERSE DECISION

Three Main Administrative Review Paths

The best procedural choice depends on the decision, timing, existing record, and whether additional evidence or argument is needed. The decision's appeal-rights notice controls the available options and deadlines.

BRANCH OF HEARINGS & REVIEW

Oral Hearing

GENERALLY REQUEST WITHIN 30 DAYS

A claimant may request an oral hearing after a final decision and before reconsideration on the same issue. New evidence may be submitted.

  • Opportunity for oral testimony.
  • Handled by OWCP's Branch of Hearings and Review.
  • Generally limited to issues addressed in the contested decision.
BRANCH OF HEARINGS & REVIEW

Review of the Written Record

GENERALLY REQUEST WITHIN 30 DAYS

Instead of appearing for an oral hearing, the claimant may ask a hearing representative to decide the matter from the written record.

  • No oral testimony or attendance.
  • Written evidence and argument may be submitted.
  • Useful when the issue can be presented fully on paper.
OWCP RECONSIDERATION

Reconsideration

TIMELY REQUEST: WITHIN 1 YEAR

Reconsideration asks OWCP to review the merits again. A timely request must satisfy the regulatory requirements for new evidence or legal argument.

  • Can be particularly important when new medical evidence exists.
  • There is no fixed limit on the number of reconsideration requests, but each request must satisfy applicable requirements.
  • Request must be received by OWCP within the applicable time limit for a timely reconsideration.
A PRACTICAL PROCEDURAL QUESTION

Do You Need OWCP to Consider New Evidence?

NEW EVIDENCE EXISTS

The Record Needs More

If the denial identifies a medical or factual deficiency and you now have relevant evidence that addresses it, a review path that can consider new evidence may matter.

  • Hearing / written-record review can accept additional evidence.
  • Reconsideration is specifically structured around qualifying new evidence or legal argument.
  • The new evidence should address the actual reason OWCP denied the claim or benefit.
RECORD IS ALREADY COMPLETE

ECAB Reviews the Existing Record

ECAB is an independent appellate body within the Department of Labor. Its review is limited to the evidence that was in the OWCP record when the appealed final decision was issued.

  • ECAB cannot consider new evidence.
  • It reviews questions of fact, law, and exercise of discretion within its jurisdiction.
  • If new evidence is what the case needs, ECAB cannot add it to the record on appeal.
EMPLOYEES' COMPENSATION APPEALS BOARD

ECAB Is Separate From OWCP

ECAB has appellate jurisdiction over final OWCP decisions under FECA. Current ECAB rules require an appeal to be filed within 180 days following the date of OWCP's final decision. The Board reviews the record that existed when OWCP issued that decision and does not receive new evidence.

01FINAL OWCP DECISIONECAB reviews final decisions, not routine informational letters.
02FILE THE APPEALSubmit the required appeal information directly to ECAB within the applicable deadline.
03RECORD REVIEWThe Board considers the existing OWCP record and arguments.
04BOARD ACTIONECAB issues a written decision or order disposing of the appeal.
WHY THE DENIAL REASON MATTERS

Appeal the Issue OWCP Actually Decided

A useful first step is to identify the precise element OWCP found deficient. The evidence or argument should then be directed at that issue rather than simply resubmitting the same record.

Factual Deficiency

The decision may find that the claimed work event, exposure, or other factual element was not sufficiently established.

OCCUPATIONAL DISEASE EVIDENCE

Medical Deficiency

The decision may accept that work events occurred but find the medical evidence insufficient on diagnosis, causation, disability, or another medical issue.

MEDICAL EVIDENCE CENTER

Benefit / Procedural Issue

The dispute may involve wage loss, recurrence, work capacity, Schedule Award, overpayment, or another benefit-specific issue with its own rules.

RESOURCE CENTER
Important procedural interaction: A claimant generally has a right to a hearing after a final decision and before reconsideration. Once reconsideration has been requested on that issue, the statutory right to a hearing is affected. ECAB and OWCP also cannot exercise simultaneous jurisdiction over the same issue after ECAB has docketed the appeal. Read the appeal-rights notice attached to the actual decision before choosing a path.
Educational Resource: Appeal deadlines and procedural rights can be outcome-determinative. This page is a general educational overview and does not select an appeal method for an individual claimant. The formal OWCP decision, current FECA regulations, OWCP/ECAB procedures, and the facts of the individual case control.
Build the record behind the appeal:   Medical Evidence Center →OWCP Resource Center →