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Click ‘Get Form’ to open the CA-7 form in the editor.
Begin with Section 1, filling in your name, mailing address, date of injury, and Social Security number. Ensure all details are accurate for processing.
In Section 2, indicate the type of compensation you are claiming by checking the appropriate boxes. Specify any leave types and provide a date range if applicable.
Proceed to Section 3 to report any earnings from outside employment during the claimed period. This includes self-employment and military service.
Complete Sections 4 through 7 as necessary, detailing dependents and any changes in your situation since your last claim.
Review all sections for accuracy before submitting. Use our platform’s tools to sign and save your completed form securely.
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