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CLAIM FOR DAMAGE, INJURY, OR DEATH
If claimant intends to file for both personal injury and property damage, the amount for each must be shown in item number 12 of this form. The amount claimed
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Injury Compensation for Federal Employees Publication
This report may be submitted on Form. CA-16 or on Form CA-20, Attending Physicians Report, which is attached to the Form CA-7, Claim for Compensation. Also
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