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The document is a claim form (CA-7) from the U.S. Department of Labor's Office of Workers' Compensation Programs, used by federal employees to request compensation for injuries sustained while on duty. It includes sections for employee information, details about the injury, claims for various types of compensation, and requirements for reporting outside earnings. The form emphasizes the importance of accurate information to avoid penalties and outlines the process for submitting claims and any necessary follow-up actions.

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What is the CA-7 form?

CA-7: Claim for Compensation. This form is used by an employee to claim compensation in an established case for traumatic injury or occupational disease.

What is a CA7 form for?

CA-7: Claim for Compensation. Leave Buy Back. Schedule Awards. Compensation for Leave without Pay.

What is the full form of ca7?

Carbonic anhydrase 7, a human gene.

What does CA7 stand for?

INSTRUCTIONS FOR COMPLETING FORM CA-7 If the employee does not quality for continuation of pay (for 45 days), the form should be completed and filed with the OWCP as soon as pay stops. The form should also be submitted when the employee reaches maximum improvement and claims a schedule award.

Who fills out CA-7?

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.

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