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Ca7 form 2026

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The document is a claim form (CA-7) for compensation under the U.S. Department of Labor's Office of Workers' Compensation Programs. It outlines the necessary sections for employees to report personal information, details about their injury, any outside employment, and dependent information. The form also includes instructions for both employees and employing agencies on how to complete and submit the claim, as well as legal implications for providing false information.

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Click ‘Get Form’ to open the CA-7 form in the editor.
Begin with Section 1 by entering your name, mailing address, and OWCP file number. Ensure all details are accurate for effective communication.
In Section 2, specify the type of compensation you are claiming. Indicate if it is for leave without pay, leave buy back, or other wage loss. Be clear about the inclusive date range.
Proceed to Section 3 to report any earnings from outside employment during the claimed period. This includes self-employment and any odd jobs.
In Section 4, indicate whether this is your first CA-7 claim for compensation related to this injury. Follow the instructions based on your response.
Complete Sections 5 through 7 as necessary, providing information about dependents and any support payments made.
Finally, review all sections for accuracy before signing and dating the form at the end. Submit it through our platform for processing.

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When should I file a CA7?

Form CA-7 should be submitted by an injured worker (IW) every two weeks while disabled and in a LWOP status, unless the IW has been placed on the periodic roll. For traumatic injury cases, Form CA-7 should be completed before the end of the COP period, if disability will continue.

What is a CA-7 form used for?

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 traumatic injury cases).

What is a CA 7a form used to document?

General: This form is used when claiming FECA compensation, including repurchase of paid leave. It must be used when claiming compensation for more than one consecutive period of leave.

How long does it take to process a CA7?

Heres how to fill in form CA-7 as a fresh applicant who didnt use ECOMP to file your initial claim: First, log on to ECOMP with your username and password. Locate your case by clicking the blue button found at the top of the screen. Click on File a CA-7 and then continue on to the next step.

Who fills out CA-7?

Once a completed CA-7 form is submitted to OWCP (either electronically through ECOMP or by your employing agency), OWCP generally has 14 days to issue a decision or request additional information. However, this timeline can vary based on: Completeness of your documentation. Medical evidence provided.

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How does CA7 work?

This form is used by an employee to claim compensation in an established case for traumatic injury or occupational disease. As the supervisor, you will receive an email from ECOMP notifying you that a form requires your review.