Document Name Document Type
Form CA-7 revised Claim for Compensation FECA Medical Report Forms, Claim for Compensation Form and Instruction
Form OWCP-5a Work Capacity Evaluation, Psychiatric/Psychological Conditions FECA Medical Report Forms, Claim for Compensation Form and Instruction
Form owcp-5b Work Capacity Evaluation, Cardiovascular/Pulmonary Conditions FECA Medical Report Forms, Claim for Compensation Form and Instruction
Form owcp-5c Work Capacity Evaluation Form, Musculoskeletal Conditions FECA Medical Report Forms, Claim for Compensation Form and Instruction
Form CA-20 Attending Physicians Report FECA Medical Report Forms, Claim for Compensation Form and Instruction
Form ca-16 Authorization for Examination and/or Treatment FECA Medical Report Forms, Claim for Compensation Form and Instruction
Form CA-1305 Letter to doctor authorizing an eye exam with PPI rating FECA Medical Report Forms, Claim for Compensation Form and Instruction
Form CA-1332 Outline for Otologic Testing FECA Medical Report Forms, Claim for Compensation Form and Instruction
Form CA-1331 with CA-10 Authorization to Doctor for Audiologic and Otologic Evaluation OWCP Hearing Loss Requirments FECA Medical Report Forms, Claim for Compensation Form and Instruction
Form CA-1090 Claimant Request for Attendant Services (CA-1090) FECA Medical Report Forms, Claim for Compensation Form and Instruction
Form CA-17 Duty Status Report FECA Medical Report Forms, Claim for Compensation Form and Instruction
Form CA-20 Attending Physicians Report FECA Medical Report Forms, Claim for Compensation Form and Instruction
Form OWCP-5a Work Capacity Evaluation Psychiatric/Psychological Conditions FECA Medical Report Forms, Claim for Compensation Form and Instruction
Form OWCP-5b Work Capacity Evaluation Cardiovascular/Pulmonary Conditions FECA Medical Report Forms, Claim for Compensation Form and Instruction
Form OWCP-5c Work Capacity Evaluation Musculoskeletal FECA Medical Report Forms, Claim for Compensation Form and Instruction
CA-7 revised Claim for Compensation CA-7 form.pdf www.dol.gov/owcp/dfec/regs/compliance/forms.htm Form and Instruction
OWCP-5a Work Capacity Evaluation, Psychiatric/Psychological Cond OWCP-5a.pdf www.dol.gov/owcp/dfec/regs/compliance/forms.htm Form and Instruction
owcp-5b Work Capacity Evaluation, Cardiovascular/Pulmonary Condi OWCP-5b.pdf www.dol.gov/owcp/dfec/regs/compliance/forms.htm Form and Instruction
owcp-5c Work Capacity Evaluation Form, Musculoskeletal Condition OWCP-5c.pdf www.dol.gov/owcp/dfec/regs/compliance/forms.htm ca-5c.pdf Form and Instruction
CA-20 Attending Physicians Report CA-20 with change in agency name and change from circle to check mark.pdf www.dol.gov/owcp/dfec/regs/compliance/forms.htm Form and Instruction
ca-16 Authorization for Examination and/or Treatment CA-16 with addition of word due and agency change to OWCP-DFEC.pdf www.dol.gov/agencies/owcp/FECA/regs/compliance/forms. Form and Instruction
CA-1305 Letter to doctor authorizing an eye exam with PPI rating CA-1305 letter re eye injury with addition of maximum in No. 1.docx Form and Instruction
CA-1332 Outline for Otologic Testing CA-1332.pdf Form and Instruction
CA-1331 with CA-10 Authorization to Doctor for Audiologic and Otologic Eval CA-1087 with CA-1331.pdf Form and Instruction
CA-1090 Claimant Request for Attendant Services (CA-1090) CA-1090 Attendant letter with removal of page break between pg 1 and pg 2.docx Form and Instruction
CA-17 Duty Status Report CA-17 form with change in agency name.pdf www.dol.gov/owcp/dfec/regs/compliance/forms.htm Form and Instruction
CA-20 Attending Physicians Report ca-20_ES.pdf www.dol.gov/owcp/dfec/regs/compliance/forms.htm Form and Instruction
OWCP-5a Work Capacity Evaluation Psychiatric/Psychological Condi owcp-5a_ES.pdf www.dol.gov/owcp/dfec/regs/compliance/forms.htm Form and Instruction
OWCP-5b Work Capacity Evaluation Cardiovascular/Pulmonary Condit owcp-5b_ES.pdf www.dol.gov/owcp/dfec/regs/compliance/forms.htm Form and Instruction
OWCP-5c Work Capacity Evaluation Musculoskeletal owcp-5c_ES.pdf www.dol.gov/owcp/dfec/regs/compliance/forms.htm ca-5c.pdf Form and Instruction

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