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Evidence Required in Support of a Claim for Occupational
To claim occupational disease, you need a detailed job description, condition history, medical records (SF-171, SF-50, diagnosis, tests), and employer comments. For hearing loss, add noise exposure details and audiograms.
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Forms | U.S. Department of Labor
These are the most frequently requested U.S. Department of Labor forms. You can complete some forms online, while you can download and print all others.
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Injury Compensation for Federal Employees Publication
The supervisor should issue to the employee two copies of the appropriate checklist, Form CA-35, a-h, for the disease claimed. (To facilitate submittal of
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