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CA-1, the employee should detach Form CA-20 and complete items 1-3 on the front. Data Background Information.2022 U.S. Disciplinary Action Key Statistics. 1,448 Physicians Disciplined for. Complete this form and send it to the Disability Evaluation Unit along with a copy of the primary treating physician's report. 2022 U.S. Disciplinary Action Key Statistics. 1,448 Physicians Disciplined for. Data Background Information. A minimum of one hour must be on the topic of a licensee's duty to report. May require the physician to report the case to a medical examiner or coroner.