Member Forms
Forms you need to file a workers’ compensation claim
- CA -1: Federal Employee’s Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation
- CA-2: Notice of Occupational Disease and Claim for Compensation
- CA-2a: Notice of Recurrence
- CA-7: Claim for Compensation
- CA-7a: Time Analysis Form
- CA-7b: Leave Buy Back (LBB) Worksheet/Certification and Election
- CA-16: Authorization for Examination And/Or Treatment
- CA-17: Duty Status Report
- CA-20: Attending Physician’s Report
- CA-35: Evidence Required in Support of a Claim for Occupational Disease
- Fighting Discrimination
- FMLA Fourth Revision
- Workers Compensation Booklet