OWCP Forms
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OWCP Forms
- CA1 - Notice of Traumatic Injury
- CA2 - Notice of Occupational Disease
- CA2a - Notice of Recurrence
- CA7 - Claim for Compensation
- CA7a - Time Analysis Form
- CA7b - Leave Buy Back
- CA10 - What a Federal Employee Should Do When Injured at Work
- CA17 - Duty Status Report
- CA20 - Attending Physicians Report
- CA35 - Evidence Required in Support of Claim for Occupational Disease
- OWCP 5a - Work Capacity Evaluation
- OWCP 5b - Work Capacity Evaluation
- OWCP 5c - Work Capacity Evaluation
- OWCP 915 - Claim for Medical Reimbursement
- OWCP 957A - Medical Travel Refund Request
- OWCP 957B - Medical Travel Refund Request
- CA-1122 - Short Form 3rd Party Recovery
- CA-1108 - Long Form Recovery for 3rd Party Injuries
- FECA sf1199a - Direct Deposit Form
- PS Form 3971 - (USPS Only)
Treating Injured
Federal Employees
- Postal Employees (USPS)
- TSA Employees
- Veterans Affairs (VA)
- Dept. of Defense (DOD)
- Homeland Security (DHS)
- Immigration & Customs (ICE)
- Federal Bureau of Prisons (BOP)
- Border Protection Agency
- Social Security Admin (SSA)
- Internal Revenue Service (IRS)
- And all AFGE members