Injury Compensation Forms

CA-1 Federal Notice of Traumatic injury and Claim for compensation. Must be filled out within 3 years of injury. To be eligible for Continuation of Pay(COP) the CA-1 must be filled out within 30 days of injury

CA-2 Notice of occupational disease and claim for compensation. Claim must be filed within 3 years from the onset of the condition.

CA-2a Notice of Recurrence

CA-7 Claim for compensation.

CA-7a Time Analysis Form

CA-7b Leave Buy Back work sheet/Certification and election

CA-17 Duty Status Report

CA-20 Attending Physicians Report

OWCP-915 Claim for Medical Reimbursement

OWCP-957 Mileage/Travel Reimbursement