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Designation of a Recipient of the Federal Employees' Compensation Act Death Gratuity Payment under 5 U.S.C. § 8102a

Form ID:

OWCP CA-40

Control ID:

OMB No. 1240-0017

Expiration date:

Tue, 30 Jun 2026 - 23:59

Forms

OWCP CA-40: Designation of a Recipient of the Federal Employees' Compensation Act Death Gratuity Payment under 5 U.S.C. § 8102a