Ca 1108-2026

See details

4 out of 5

47 votes

The document is a form (CA-1108) from the U.S. Department of Labor's Office of Workers' Compensation Programs, detailing the process for reporting and calculating recoveries from third-party actions related to federal employees' compensation claims. It outlines how to itemize gross recovery amounts, allocate damages for loss of consortium, wrongful death, and survival actions, as well as how to calculate attorney's fees and costs associated with legal proceedings. The form emphasizes compliance with federal regulations and includes a certification section for beneficiaries.

Here's how it works

01. Edit your ca1108 online

Type text, add images, blackout confidential details, add comments, highlights and more.

02. Sign it in a few clicks

Draw your signature, type it, upload its image, or use your mobile device as a signature pad.

03. Share your form with others

Send it via email, link, or fax. You can also download it, export it or print it out.

How to use or fill out ca 1108 with our platform

Ease of Setup

DocHub User Ratings on G2

Ease of Use

DocHub User Ratings on G2

Click ‘Get Form’ to open the CA-1108 in the editor.
Begin by entering the 'Gross Recovery' amount on Line 1, which is the total award received from a lawsuit or settlement.
On Line 2, input any amounts for real or personal property damage that need approval. Ensure these are itemized for clarity.
Calculate Subtotal A by subtracting Line 2 from Line 1 and enter it on Line 3.
For loss of consortium, allocate a percentage of Subtotal A on Line 4, ensuring it aligns with OWCP guidelines.
Continue filling out subsequent lines for wrongful death and survival actions as applicable, following the instructions provided for each section.
Review all entries carefully. Use our platform's automatic calculations to ensure accuracy in attorney’s fees and court costs.

Start using our platform today to simplify your CA-1108 form completion!

be ready to get more

Complete this form in 5 minutes or less

Get form

Got questions?

We have answers to the most popular questions from our customers. If you can't find an answer to your question, please contact us.

What is the CA-7a form?

Filing Form CA-7a, Time Analysis Form. When a form CA-7 is filed to claim compensation for intermittent dates, an accompanying form CA-7a should be filed to provide information on specific dates and hours of compensation claimed.

What is a CA 17 form used for?

The CA-17 was designed to provide the doctor with an accurate description of the physical work requirements of the injured letter carrier. The CA-17 is a legal document that determines both an injured workers medical restrictions and entitlement to wage-loss compensation benefits.

How to get a CA 16 form?

CA-16: Where Can EA Get One? Form CA-16 is available to the supervisor once they complete their portion of Form CA-1 in ECOMP. Form CA-16 is also available to the Agency Reviewer (AR) once they complete the final review of Form CA-1 in ECOMP.

What is a CA-1 or CA 2 form?

Most work-related medical conditions fall into two categories: (1) traumatic injury (Form CA-1, Federal Employees Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation), and (2) occupational disease (Form CA-2, Notice of Occupational Disease and Claim for Compensation).

What is a CA 7A form?

Instructions for Completing Form CA-7A Time Analysis. 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.

Security and compliance

At DocHub, your data security is our priority. We follow HIPAA, SOC2, GDPR, and other standards, so you can work on your documents with confidence.

Learn more

Related forms

be ready to get more