Document Name Document Type
Form CA-7 FECA Medical Report Forms, Claim for Compensation Form and Instruction
CA-1305 9 2017.rtf Instruction
CA-1090 revised 2-16-2018.rtf Instruction
CA-7 Claim for Compensation CA-7.pdf www.dol.gov/owcp/dfec/regs/compliance/forms.htm Form and Instruction
CA-17 Duty Status Report ca-17.pdf www.dol.gov/owcp/dfec/regs/compliance/forms.htm Form and Instruction
OWCP-5a Work Capacity Evaluation, Psychiatric/Psychological Cond owcp-5a revised 2-16-2018.pdf www.dol.gov/owcp/dfec/regs/compliance/forms.htm Form and Instruction
owcp-5b Work Capacity Evaluation, Cardiovascular/Pulmonary Condi owcp-5b revised february 16, 2018.pdf www.dol.gov/owcp/dfec/regs/compliance/forms.htm Form and Instruction
owcp-5c Work Capacity Evaluation Form, Musculoskeletal Condition owcp-5c revised 2-16-2018.pdf www.dol.gov/owcp/dfec/regs/compliance/forms.htm ca-5c.pdf Form and Instruction
ca-20 Attending Physicians Report ca-20.pdf www.dol.gov/owcp/dfec/regs/compliance/forms.htm Form and Instruction
ca-16 Authorization for Examination and/or Treatment CA-16.pdf Form and Instruction
CA-1332 Outline for Otologic Testing CA-1332 revision 2017 revised 9-2017.docx Form and Instruction
CA-1331 with CA-10 Authorization to Doctor for Audiologic and Otologic Eval CA-1331 9-2017cpc.rtf Form and Instruction
CA-16 Authorization for Examination and/or Treatment CA-16 new expiring march 2021 with proposed changes 2018.pdf Form and Instruction

            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.