OWCP Forms

The Department of Labor (DOL) provides a complete list of OWCP forms on their website. Generally, forms should be printed, filled out, and then submitted through your agency to DOL. Always keep a copy of what you submit and make sure you have proof that you submitted the form. Here are links to some commonly requested forms:

• To report a traumatic injury, use Form CA-1: Federal Notice of Traumatic Injury and Claim for Continuance of Pay/Compensation. Complete the employee portion of this form and turn it in to your supervisor no later than 30 days following an injury. Make sure you get a "receipt of notice" from your supervisor.

• To report an occupational disease, use Form CA-2: Notice of Occupational Disease and Claim for Compensation. Complete the employee portion of this form and turn it in to your supervisor. Make sure you get a "receipt of notice" from your supervisor.

• To report a recurrence of an injury, use Form CA-2a: Notice of Recurrence.

• If you are unable to return to work within the 45 day continuation of pay period, use Form CA-7: Claim for Compensation to request disability compensation. File this form as soon as it is apparent you will not be able to return to work.

• If you doctor's office is unsure of how to bill for your work injury, print out and give them information for Medical Providers. You should also give your doctor's office the list of accepted conditions, including ICD-9 codes, for your case. You can log in to OWCP's website and get this information at http://owcp.dol.acs-inc.com.

• If you've paid your doctor for treatment that should be covered by OWCP, use Form OWCP-915: Claim for Medical Reimbursement to request reimbursement. Make sure to carefully read and follow all of the instructions on the form.
  

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