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Official Notice of Employees’ Death for Purposes of FECA Section 8102a Death Gratuity

Form ID:

OWCP CA-42

Control ID:

OMB No. 1240-0017

Expiration date:

Tue, 30 Jun 2026 - 23:59

Forms

OWCP CA-42: Official Notice of Employees’ Death for Purposes of FECA Section 8102a Death Gratuity