Saturday, August 24, 2019

Sample legal forms and business documents

YOU ARE HERE Home Legal Forms Department of Labor (DOL) Office of Workers' Compensation Programs DFEC (OWCP-DFEC)

Office of Workers' Compensation Programs DFEC (OWCP-DFEC)

Form TitleCoverage
DFEC CA-1, Federal Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation All States
DFEC CA-10, What A Federal Employee Should Do When Injured At Work All States
DFEC CA-1031, Letter to Dependants to Verify Claimant Support All States
DFEC CA-1074, Letter to Parents in Death Claim Development All States
DFEC CA-1108, Statement of Recovery Letter with Long Form All States
DFEC CA-1122, Statement of Recovery Letter with Short Form All States
DFEC CA-12, Claim For Continuance of Compensation Under the Federal Employees' Compensation Act All States
DFEC CA-17, Duty Status Report All States
DFEC CA-2, Notice of Occupational Disease and Claim for Compensation All States
DFEC CA-20, Attending Physician's Report All States
DFEC CA-2231, Claim for Reimbursement Assisted Reemployment All States
DFEC CA-278, Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act All States
DFEC CA-2a, Notice of Recurrence All States
DFEC CA-35, Evidence Required in Support of a Claim for Occupational Disease All States
DFEC CA-5, Claim for Compensation by Widow, Widower, and/or Children All States
DFEC CA-5b, Claim for Compensation by Parents, Brothers, Sisters, Grandparents, or Grandchildren All States
DFEC CA-6, Official Supervisor's Report of Employee's Death All States
DFEC CA-7, Claim for Compensation All States
DFEC CA-721, Notice of Law Enforcement Officer's Injury Or Occupational Disease All States
DFEC CA-722, Notice of Law Enforcement Officer's Death All States
DFEC CA-7a, Time Analysis Form All States
DFEC CA-7b, Leave Buy Back (LBB) Worksheet/Certification and Election All States