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Federal
Employees’ Compensation Act (FECA and CA)
Forms in Word
- All forms are on sale in October 2012!
- Our MS Office-certified designers make Microsoft Word documents that are completely fillable, unprotected, and easy to use, save, copy, and use again. Your forms are e-mailed right to you. We always do a careful proof of each form to be sure it looks just like the federal form.
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| Form No. and Title | Price |
Buy Now in Word |
| CA-1 Notice of Traumatic Injury | $7.50 |
|
| CA-2 Notice of Occupational Disease and Claim for Compensation | $7.50 |
|
| CA-2a Notice of Recurrence of Disability | $7.50 |
|
| CA-5 Claim for Compensation by Widow, Widower, and/or Children | $7.50 |
|
| CA-6, Official Supervisor's Report of Employee's Death | $7.50 |
|
| CA-7 Claim for Compensation on Account of Traumatic Injury or Occupational Disease | $7.50 |
|
| CA-16 Authorization for Examination and/or Treatment | $7.50 |
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| CA-17, Duty Status Report | $7.50 |
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| CA-20 Attending Physician’s Report | $7.50 |
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| CA-915 Claimant Medical Reimbursement Form | $7.50 |
|
| CA-35a Occupational Disease in General | $7.50 |
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| CA-35b Hearing Loss | $7.50 |
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| CA-35c Asbestos-Related Illness | $7.50 |
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| CA-35d Coronary/Vascular Condition | $7.50 |
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| CA-35e Skin Disease | $7.50 |
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| CA-35f Pulmonary Illness (NOT Asbestosis) | $7.50 |
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| CA-35g Psychiatric Illness | $7.50 |
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| CA-35h Carpal Tunnel Syndrome | $7.50 |
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| HCFA-1500, Health Insurance Claim Form | $7.50 |
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| CD 435 Procurement Request | $7.50
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| SF85 | $7.50 |
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