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This document contains the decision and order regarding the appeal filed by G.S. against the Department of the Air Force concerning the denial of his traumatic injury claim under the Federal Employees'
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Gather all necessary personal information, such as your name, address, and contact information.
02
Provide details about your military service, including your branch of service, dates of service, and rank.
03
Fill in the section regarding your medical condition, explaining any disabilities or illnesses you are seeking compensation for.
04
Provide information about any previous claims you have filed with the Department of Labor.
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Attach any supporting documentation, such as medical records or treatment notes, that can strengthen your claim.
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Review the completed form for accuracy and completeness before submitting it to the Department of Labor.

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Veterans who have sustained injuries or developed disabilities as a result of their military service.
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Individuals who believe they are eligible for compensation benefits from the Department of Labor due to a work-related injury or illness.
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Anyone who wishes to file a claim for compensation under the Federal Employees' Compensation Act (FECA) administered by the Department of Labor.
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11-1744doc - dol is a form used by the Department of Labor for reporting on certain labor activities.
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Employees' Compensation Appeals Board traumatic injury claim Workers' Compensation reconsideration Office of Workers' Compensation Programs medical evidence causal relationship jurisdiction Federal Employees' Compensation Act appeal

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