U.S. Department of Labor
Employment Standards Administration
Office of Workers' Compensation Programs
1111 Third Avenue/ Suite 650
Seattle, WA 98101
Phone: 206-553-5508
Fax: 206-553-4629
	
April 7, l998
DOI: 12/24/97
Claim #:A14-330762

Richard A. Ketter, Jr.
1344 NE McWilliam Road
Bremerton, WA 98311

Dear Mr. Ketter:

I am writing in reference to your claim for the injury of, which 
you sustained while-employed by the agency shown below. Your claim 
has been accepted for a left shoulder strain.

You are entitled to up to 45 calendar days of continuation of pay 
(COP) for necessary time off from work due to injury-related 
disability or medical treatment. If wage loss continues after the 
expiration of COP, you may file a claim for disability 
compensation on Form CA7; (medical evidence of disability for each 
period claimed is required). Necessary medical expenses related to 
the injury will be processed for payment by this office following 
proper submission of charges.

The medical evidence in file does not establish that the work 
incident caused cellulitis of your leg.

Enclosed is a notice entitled "Now That Your Claim Has Been 
Accepted..." which provides information concerning payment of 
bills, claims for compensation, and other matters pertinent to 
your claim. IT IS VERY IMPORTANT THAT YOU READ THE ENCLOSURE, 
PAYING SPECIAL ATTENTION TO THE SECTION ON ALLOWABLE MEDICAL 
EXPENSES!

Sincerely,



Kenneth J. Dowdell
Claims Examiner
Enclosure: CA-1009

TO EMPLOYER: Please provide a
completed Form CA-3, showing the
dates the employee lost time from work.	

Dept of the Navy
Puget Sound Naval Shipyard
Code 1113.1
Bremerton, WA 98314