Document Name Document Type
Form CA-7 FECA Medical Report Forms, Claim for Compensation Form and Instruction
1240-0046 INSTRUCTIONS (CA-1305).pdf Instruction
CA-7 Claim for Compensation ca-7.pdf www.dol.gov/owcp/dfec/regs/compliance/forms.htm Form and Instruction
CA-17 Duty Status Report 1240-0046 Duty Status Report (CA-17).pdf www.dol.gov/owcp/dfec/regs/compliance/forms.htm Form and Instruction
OWCP-5a Work Capacity Evaluation, Psychiatric/Psychological Cond OWCP-5a.pdf www.dol.gov/owcp/dfec/regs/compliance/forms.htm Form and Instruction
owcp-5b Work Capacity Evaluation, Cardiovascular/Pulmonary Condi OWCP-5b.pdf www.dol.gov/owcp/dfec/regs/compliance/forms.htm Form and Instruction
owcp-5c Work Capacity Evaluation Form, Musculoskeletal Condition OWCP-5c.pdf www.dol.gov/owcp/dfec/regs/compliance/forms.htm ca-5c.pdf Form and Instruction
CA-20 Attending Physicians Report 1240-0046 Attending Physicians Report (CA-20).pdf www.dol.gov/owcp/dfec/regs/compliance/forms.htm Form and Instruction
ca-16 Authorization for Examination and/or Treatment 1240-0046 Authorization for Examination and or Treatment (CA-16).pdf Form and Instruction
CA-1332 Outline for Otologic Testing 1240-0046 Authorization to Dr for Audiologic and Otologic Eval OWCP Hearing Loss Reqs (CA-1331).pdf Form and Instruction
CA-1331 with CA-10 Authorization to Doctor for Audiologic and Otologic Eval 1240-0046 Authorization to Dr for Audiologic and Otologic Eval OWCP Hearing Loss Reqs (CA-1331).pdf Form and Instruction
CA-1090 Claimant Request for Attending Physician (CA-1090) 1240-0046 Claimant Request for Attending Physician (CA-1090).pdf Form and Instruction
CA-16 Authorization for Examination and/or Treatment CA-16 new expiring march 2021 with proposed changes 2018.pdf Form and Instruction

            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.