Notice of Law Enforcement Officer's Injury or Occupational Disease (CA-721); Notice of Law Enforcement Officer's Death (CA-722)

Notice of Law Enforcement Officer's Injury or Occupational Disease and Notice of Law Enforcement Officer's Death

OMB: 1240-0022

IC ID: 13785

Documents and Forms

Document Name Document Type
Form CA-721 Notice of Law Enforcement Officer's Injury or Occupational Disease (CA-721); Notice of Law Enforcement Officer's Death (CA-722) Form and Instruction
CA-721 Notice of Law Enforcement Officer's Injury or Occupational Disease ca-721.docx www.dol.gov/owcp/dfec/regs/compliance/forms.htm Form and Instruction
CA-722 Notice of Law Enforcement Officer's Death ca-722.docx www.dol.gov/owcp/dfec/regs/compliance/forms.htm Form and Instruction