Resources
- Form CA-10:What A Federal Employee Should Do When Injured At Work
- Form CA-1:Federal Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation
- Form CA-2:Notice of Occupational Disease and Claim for Compensation
- Form CA-2a:Notice of Recurrence
- Form CA-5:Claim for Compensation by Widow, Widower, and/or Children
- Form CA-5b:Claim for Compensation by Parents, Brothers, Sisters, Grandparents, or Grandchildren
- Form CA-6:Official Supervisor’s Report of Employee’s Death
- Form CA-7:Claim for Compensation – Form CA-7 replaces ALL prior versions of CA-7 and CA-8 (see FECA Bulletin No. 99-18)
- Form CA-7a:Time Analysis Form, used for claiming compensation, including repurchase of paid leave
- Form CA-7b:Leave Buy Back (LBB) Worksheet/Certification and Election
- Form CA-12:Claim For Continuance of Compensation Under the Federal Employees’ Compensation Act
- Form CA-17:Duty Status Report
- Form CA-20:Attending Physician’s Report
- Form CA-35:Evidence Required in Support of a Claim for Occupational Disease
- Form CA-40:Designation of Recipient of FECA Death Gratuity Payment, under Section 1105 of Public Law 110-181 (Section 8102a)
- Form CA-41:Claim for Survivor Benefits Under the Federal Employees’ Compensation Act Section 8102a Death Gratuity
- Form CA-42:Official Notice of Employees’ Death for Purposes of FECA Section 8102a Death Gratuity
- Form CA-278:Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act
- Form CA-721:Notice of Law Enforcement Officer’s Injury Or Occupational Disease
- Form CA-722:Notice of Law Enforcement Officer’s Death
- Form CA-1031:Letter to Dependents to Verify Claimant Support
- Form CA-1074:Letter to Parents in Death Claim Development
- Form CA-1108:Statement of Recovery Letter with Long Form
- Form CA-1122:Statement of Recovery Letter with Short Form
- Form CA-2231:Claim for Reimbursement Assisted Reemployment
- Form OWCP-5a:Work Capacity Evaluation Psychiatric/Psychological Conditions
- Form OWCP-5b:Work Capacity Evaluation Cardiovascular/Pulmonary Conditions
- Form OWCP-5c:Work Capacity Evaluation for Musculo-skeletal Conditions
- Form OWCP=16:Rehabilitation Plan And Award
- Form OWCP-17:Rehabilitation Maintenance Certificate
- Form OWCP-20:Overpayment Recovery Questionnaire
- Form OWCP-44:Rehabilitation Action Report
- Form OWCP-04:Uniform Billing Form
- Form OWCP915:Claim For Medical Reimbursement Form OWCP-915 replaces CA-915
- Form OWCP-957:Medical Travel Refund Request
- Form OWCP-1168:Provider Enrollment form
- Form SF-1199A:Direct Deposit