Forms

This area allows users to filter and find official Department of Labor forms across a range of programs and services. It helps workers, employers, and the public quickly access the materials they need to request benefits, meet requirements, or submit information.

Results

41 - 60 of 167 results
Form name Agencies Form files Details
OWCP CA-20: Attending Physician’s Report AgencyOWCP
OWCP CA-2231: Claim for Reimbursement Assisted Reemployment AgencyOWCP
OWCP CA-278: Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act AgencyOWCP
OWCP CA-2a: Notice of Recurrence AgencyOWCP
OWCP CA-35: Evidence Required in Support of a Claim for Occupational Disease AgencyOWCP
OWCP CA-40: Designation of a Recipient of the Federal Employees' Compensation Act Death Gratuity Payment under 5 U.S.C. § 8102a AgencyOWCP
OWCP CA-41: Claim for Survivor Benefits Under the Federal Employees’ Compensation Act Section 8102a Death Gratuity AgencyOWCP
OWCP CA-42: Official Notice of Employees’ Death for Purposes of FECA Section 8102a Death Gratuity AgencyOWCP
OWCP CA-5: Claim for Compensation by Surviving Spouse and/or Children AgencyOWCP
OWCP CA-5b: Claim for Compensation by Parents, Office of Workers' Compensation Programs Brothers, Sisters, Grandparents, or Grandchildren AgencyOWCP
OWCP CA-6: Official Superior’s Report of Employee’s Death AgencyOWCP
OWCP CA-7: Claim for Compensation AgencyOWCP
OWCP CA-721: Notice of Law Enforcement Officer's Injury Or Occupational Disease AgencyOWCP
OWCP CA-722: Notice of Law Enforcement Officer's Death AgencyOWCP
OWCP CA-7a: Time Analysis Form AgencyOWCP
OWCP CA-7b: Leave Buy Back (LBB) Worksheet/ Certification and Election AgencyOWCP
OWCP CM-1159: Report of Arterial Blood Gas Study AgencyOWCP
OWCP CM-2907: Report of Ventilatory Study AgencyOWCP
OWCP CM-2970: Ventilatory study form documenting spirometry results, flow‑volume loops, miner cooperation, and bronchodilator response to assess Black Lung benefit eligibility. AgencyOWCP
OWCP CM-2970a: Operator Response To Notice of Claim AgencyOWCP