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Claim for Schedule AwardResetU.S. Department of Labor Office of Workers\' Compensation ProgramsPrintSECTION 1: CLAIMANT CONTACT INFORMATION a. Name of ClaimantLastMiddleFirstb. Mailing Address (Street,

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What is ca-7 - claim for?

The CA-7 form is used to file a claim for compensation for wage loss due to an injury sustained while in the performance of duty under the Federal Employees' Compensation Act (FECA).

Who is required to file ca-7 - claim for?

Federal employees who have suffered a work-related injury or illness and are seeking compensation for wage loss must file the CA-7 claim.

How to fill out ca-7 - claim for?

To fill out the CA-7 form, an employee must provide personal information, details about the injury or illness, dates of absence from work, and any supporting medical documentation. It should be completed in compliance with the instructions provided on the form.

What is the purpose of ca-7 - claim for?

The purpose of the CA-7 form is to facilitate the process of claiming wage loss compensation for federal employees who are unable to work due to job-related injuries or illnesses.

What information must be reported on ca-7 - claim for?

The CA-7 form requires information such as the employee's name, address, Social Security number, the nature and date of the injury, periods of wage loss, and any medical treatment received. Additionally, it may require details about any other compensation received during the absence.

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