CA-7a, Time Analysis Form - nysalc 2026

1. Click ‘Get Form’ to open the CA-7a, Time Analysis Form in our editor.
2. Begin by filling out Block 1 with your name (Last, First, Middle), followed by your Social Security Number in Block 2 and OWCP File Number in Block 3.
3. In Block 4, indicate the period covered by this form by entering the start and end dates. Ensure these match the dates on Forms CA-7 and CA-7b.
4. For Block 5, state the total hours claimed for leave without pay (LWOP) and any paid leave. Remember that this should be at least 10 hours unless it’s your final claim.
5. In Block 6, list each date in the first column. For each date, mark 'Y' if claiming compensation or 'N' if not in the second column. Fill out the remaining columns with hours worked and type of leave used.
6. Provide a reason for leave in the last column of Block 6. Ensure you have medical evidence for any claimed compensation.
7. Finally, sign and date the form before submitting it to the appropriate agency official for processing.

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