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.
CA-1 - Notice of Traumatic Injury
CA-2 - Notice of Occupational Disease
CA-2a - Notice of Recurrence
CA-7 - Claim for Compensation
CA-7a - Time Analysis Form
CA-7b - Leave Buy Back
CA-10 - What a Federal Employee Should Do When Injured at Work
CA-17 - Duty Status Report
CA-20 - Attending Physicians Report
CA-35 - 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)