Federal Workers’ Compensation Forms and Resources
Federal Injury Centers provides comprehensive medical care for federal government employees injured on the job. Our multidisciplinary team understands the requirements of the Department of Labor Office of Workers’ Compensation Programs (DOL-OWCP) and the Federal Employees’ Compensation Act (FECA).
Whether you suffered a traumatic injury from a workplace incident or developed an occupational injury from years of repetitive motion, our providers deliver coordinated treatment and proper documentation so you can recover and receive the benefits you are entitled to under federal workers’ compensation.
OWCP FORMS
Access the Forms You Need for Your OWCP Claim
Filing a federal workers’ compensation claim requires specific forms through the Department of Labor (DOL-OWCP) to report injuries, document work status, and qualify for benefits.
Below are the most common forms for federal employees, including those for traumatic injuries, occupational conditions, and medical care.
Not sure what you need? We can help. Proper documentation is key to getting your claim approved.
Need help?
Contact Federal Injury Centers for complimentary assistance.
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
WCP 957A - Medical Travel Refund Request
OWCP 957B - Medical Travel Refund Request
FECA sf1199a - Direct Deposit Form
PS Form 3971 - (USPS Only)