CA-7 - Claim for Compensation. U.S. Department of Labor . Office of Workers' Compensation Programs. Claim for Compensation. SECTION 1. EMPLOYEE PORTION. Middle. OMB No. 1240-0046 Expires: …

Fine will assume his duties on January 20, 2026 in Chicago and succeeds Bankruptcy Judge Donald R. Cassling who will retire in January 2026.

SECTION 7 I hereby make claim for compensation because of the injury sustained by me while in the performance of my duty for the United States. I certify that the information provided above is true and …

Form CA-7 is used to claim compensation for wage loss while in a leave without pay (LWOP) status due to disability or absence to obtain medical treatment (after continuation of pay (COP) period for …

Oct 28, 2024 · The CA-7 form, officially known as the “Claim for Compensation,” is a critical document used in the United States workers’ compensation system, specifically under the Federal Employees’ …

SECTION 3 You must report any and all earnings from employment (outside your federal job); include any employment for which you received a salary, wages, income, sales commissions, or payment of …

Case Initiating Documents, such as Petitions for Review, Petitions for Permission to Appeal, etc., should be submitted to the Clerk of Court electronically via e-mail at: [email protected]

Sep 3, 2024 · It is crucial to file the CA-7 form in a timely manner. Delays can result in delays in compensation payments. The form should be submitted to the employee’s supervisor, who will then …

All of the Federal Employees Program's online forms (with the exception of Forms CA-16 and CA-27) are available to print and to manually fill and submit. Simply click on the appropriate form and print it …