United States Department of Labor

Employees’ Compensation Appeals Board

__________________________________________

C.C., Appellant

and

U.S. POSTAL SERVICE, NORTH HOUSTON 

POST OFFICE, Houston, TX, Employer

__________________________________________

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Docket No. 23-0496

Issued: November 17, 2023

Appearances: Case Submitted on the Record

Appellant, pro se

Office of Solicitor, for the Director

DECISION AND ORDER

Before:

JANICE B. ASKIN, Judge

VALERIE D. EVANS-HARRELL, Alternate Judge

JAMES D. McGINLEY, Alternate Judge

JURISDICTION

On February 22, 2023 appellant filed a timely appeal from a February 2, 2023 merit

decision of the Office of Workers’ Compensation Programs (OWCP). Pursuant to the Federal

Employees’ Compensation Act1(FECA) and 20 C.F.R. §§ 501.2(c) and 501.3, the Board has

jurisdiction over the merits of this case.

2

ISSUE

The issue is whether appellant has met her burden of proof to establish a diagnosed medical 

condition in connection with the accepted December 17, 2022 employment incident.

1

5 U.S.C. § 8101 et seq.

2 The Board notes that, following the February 2, 2023 decision, OWCP received additional evidence. However, 

the Board’s Rules of Procedure provides: “The Board’s review of a case is limited to the evidence in the case record 

that was before OWCP at the time of its final decision. Evidence not before OWCP will not be considered by the 

Board for the first time on appeal.” 20 C.F.R. § 501.2(c)(1). Thus, the Board is precluded from reviewing this 

additional evidence for the first time on appeal. Id.
2

FACTUAL HISTORY

On December 22, 2022 appellant, then a 21-year-old rural carrier associate, filed a 

traumatic injury claim (Form CA-1) alleging that on December 17, 2022 she injured her left 

shoulder while in the performance of duty. She noted that she felt a pop and immediate pain in 

her left shoulder when she delivered a package containing a mattress. Appellant stopped work on 

December 21, 2022 and returned to full-duty work on December 23, 2022. 

In a December 21, 2022 statement, appellant described the December 17, 2022 

employment incident and noted that she sought treatment in the emergency room that day. 

In a December 23, 2022 development letter, OWCP informed appellant of the deficiencies 

of her claim. It advised her of the type of factual and medical evidence needed to establish her

claim and afforded her 30 days to submit the necessary evidence.

Thereafter, OWCP received a December 22, 2022 report by Sauda Alam, a nurse 

practitioner, who noted that appellant related complaints of pain in the left shoulder, which she 

attributed to lifting a package on December 17, 2022. She performed a physical examination, 

which revealed reduced range of motion of the left shoulder in all planes. Ms. Alam also ordered 

x-rays of the left shoulder, which were normal. She diagnosed an unspecified sprain of the left 

shoulder joint and referred appellant for an orthopedic surgery consultation. In a separate form 

and duty status report (Form CA-17) of even date, Ms. Alam recommended that appellant remain 

out of work until December 30, 2022. 

A December 27, 2022 state workers’ compensation form report bearing an illegible 

signature indicated that appellant should continue to remain out of work until January 9, 2023. A 

physical therapy prescription of even date bearing an illegible signature reflected a diagnosis of 

left shoulder impingement syndrome. 

In a report dated January 4, 2023, Ashley N. Fritts, a physical therapist, noted that appellant

related complaints of left shoulder pain after delivering a mattress on December 17, 2022. She 

recommended various therapeutic modalities. 

A January 9, 2023 Form CA-17 bearing an illegible signature reflected a diagnosis of left 

shoulder pain and released appellant to return to work with restrictions of lifting no more than 10 

pounds and no kneeling, pushing, pulling, twisting, reaching above shoulder height, driving, or 

operating machinery. 

By decision dated February 2, 2023, OWCP accepted that the December 17, 2022

employment incident occurred, as alleged. However, it denied appellant’s claim, finding that the 

medical evidence of record was insufficient to establish a medical diagnosis in connection with 

the accepted employment incident. Consequently, OWCP found that she had not met the 

requirements to establish an injury as defined by FECA.
3

LEGAL PRECEDENT

An employee seeking benefits under FECA3 has the burden of proof to establish the 

essential elements of his or her claim, including that the individual is an employee of the United 

States within the meaning of FECA, that the claim was timely filed within the applicable time 

limitation of FECA,4that an injury was sustained in the performance of duty as alleged, and that 

any disability or medical condition for which compensation is claimed is causally related to the 

employment injury.5 These are the essential elements of each and every compensation claim, 

regardless of whether the claim is predicated upon a traumatic injury or an occupational disease.6

To determine whether a federal employee has sustained a traumatic injury in the 

performance of duty, it first must be determined whether fact of injury has been established. There 

are two components involved in establishing fact of injury. First, the employee must submit 

sufficient evidence to establish that he or she actually experienced the employment incident at the 

time, place, and in the manner alleged. The second component is whether the employment incident 

caused an injury.7 

The medical evidence required to establish a causal relationship between a claimed specific 

condition and an employment incident is rationalized medical opinion evidence. 8 The opinion of 

the physician must be based on a complete factual and medical background of the employee, must 

be one of reasonable medical certainty, and must be supported by medical rationale explaining the 

nature of the relationship between the diagnosed condition and the specific employment incident 

identified by the claimant.9

ANALYSIS

The Board finds that appellant has not met her burden of proof to establish a diagnosed 

medical condition in connection with the accepted December 17, 2022 employment incident.

In support of her claim, appellant submitted a December 27, 2022 state workers’

compensation form report and a January 9, 2023 Form CA-17 bearing illegible signatures and a 

3

Supra note 1.

4 F.H., Docket No.18-0869 (issued January 29, 2020); J.P., Docket No. 19-0129 (issued April26, 2019); JoeD. 

Cameron, 41 ECAB 153 (1989). 

5 L.C., Docket No. 19-1301 (issued January 29, 2020); J.H., Docket No. 18-1637 (issued January 29, 2020); 

James E. Chadden, Sr., 40 ECAB 312 (1988).

6 P.A., Docket No. 18-0559 (issued January 29, 2020); K.M., Docket No. 15-1660 (issued September 16, 2016); 

Delores C. Ellyett, 41 ECAB 992 (1990).

7 T.H., Docket No. 19-0599 (issued January 28, 2020); K.L., Docket No. 18-1029 (issued January 9, 2019); John J. 

Carlone, 41 ECAB 354 (1989).

8

S.S., Docket No. 19-0688 (issued January 24, 2020); A.M., Docket No. 18-1748 (issued April24, 2019); RobertG. 

Morris, 48 ECAB 238 (1996).

9 A.S., Docket No. 19-1955 (issued April 9, 2020); Leslie C. Moore, 52 ECAB 132 (2000).
4

physical therapy prescription dated December 27, 2022, also bearing an illegible signature, and 

reflecting a diagnosis of left shoulder impingement syndrome. Reports that are unsigned or that 

bear illegible signatures cannot be considered probative medical evidence because they lack proper 

identification10 because the author cannot be identified as a physician.11

Appellant also submitted a note by Ms. Fritts, a physical therapist, and reports by

Ms. Alam, a nurse practitioner, who diagnosed a left shoulder sprain. These reports have no 

probative value, however, because physical therapists and nurse practitioners are not considered 

physicians as defined under FECA.12

The Board finds that there is no evidence of record that establishes a medical diagnosis 

from a qualified physician in connection with the accepted employment incident. Consequently, 

appellant has not met her burden of proof.

13

Appellant may submit new evidence or argument with a written request for reconsideration 

to OWCP within one year of this merit decision, pursuant to 5 U.S.C. § 8128(a) and 20 C.F.R. 

§§ 10.605 through 10.607.

CONCLUSION

The Board finds that appellant has not met her burden of proof to establish a diagnosed 

medical condition in connection with the accepted December 17, 2022 employment incident.

10 W.L., Docket No. 19-1581 (issued August 5, 2020).

11 D.T., Docket No. 20-0685 (issued October 8, 2020); Merton J. Sills, 39 ECAB 572, 575 (1988).

12 Section 8102(2) of FECA provides as follows: (2) physician includes surgeons, podiatrists, dentists, clinical 

psychologists, optometrists, chiropractors, and osteopathic practitioners within the scope of their practice as defined 

by State law. 5 U.S.C. § 8101(2); 20 C.F.R. § 10.5(t). See Federal (FECA) Procedure Manual, Part 2 -- Claims, 

Causal Relationship, Chapter 2.805.3a(1) (January 2013); DavidP. Sawchuk, 57 ECAB 316, 320 n.11 (2006) (lay 

individuals such as physician assistants, nurses, and physical therapists are not competent to render a medical opinion 

under FECA); see also E.H., Docket No. 23-0373 (issued July 7, 2023) (nurse practitioners are not considered 

physicians as defined under FECA); Jane White, 34 ECAB 515, 518 (1983) (physical therapists are not considered 

physicians within the meaning of FECA).

13 See D.C., Docket No. 21-0806 (issued February 1, 2023).
5

ORDER

IT IS HEREBY ORDERED THAT the February 2, 2023 decision of the Office of 

Workers’ Compensation Programs is affirmed. 

Issued: November 17, 2023

Washington, DC

Janice B. Askin, Judge

Employees’ Compensation Appeals Board

Valerie D. Evans-Harrell, Alternate Judge

Employees’ Compensation Appeals Board

James D. McGinley, Alternate Judge

Employees’ Compensation Appeals Board