Office of Workers' Compensation Program (OWCP) Forms

Note: These files are only available in PDF format.  To download a PDF viewer go to http://www.adobe.com

 

Effective immediately, the revised Form CA-7 replaces ALL prior versions of Forms CA-7 and CA-8 (see FECA Bulletin No. 99-18).
Existing supplies of Form CA-7 and CA-8 may be used ONLY until supplies of the revised Form CA-7 are obtained.

Form CA-1, Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation
Form CA-2, Federal Employee's 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-6, Official Supervisor's Report of Employee's Death
Form CA-7, Claim for Compensation
Form CA-17, Duty Status Report
Form CA-20, Attending Physician's Report
Form OWCP-915, Claimant Medical Reimbursement Form
Form HCFA-1500, Health Insurance Claim Form
Form UB-92, Uniform Health Insurance Claim Form

Send your Questions or Comments to karen.lee.colley@us.army.mil Questions? Comments?

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