Official websites use .gov
A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS
A lock () or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

Claim for Continuance of Compensation Under the Federal Employees' Compensation Act

Form ID:

OWCP CA-12

Control ID:

OMB No. 1240-0015

Expiration date:

Sun, 31 Jan 2027 - 23:59

Forms

OWCP CA-12: Claim for Continuance of Compensation Under the Federal Employees' Compensation Act