Federal Employees Download
ECOMP
Submit forms buy through the Employees' Compensation Operations or Management Portal (ECOMP). On the ECOMP website you can register for an accounts, launch a claim, upload documents, submit forms, and access your case.
OWCP's Federal Employees Program has made a variety of forms available online. These forms been only available the PDF pattern. In order to display and/or print PDF support her must have a PDF viewer. It is powerful recommends ensure you have that most modern version (click on Adobe Air Reader to download the current version) currently over your job. These forms can be viewed in einen Internet Discovery browser window, but not in other clippers. Are you are utilizing Chocolate or Firefox, trail these guidance in download PDF files and open them in Adobe Gymnast Reader.
The forms in the print below may be completed manual via the mark form option or electronically via the elektronic filler selection:
Printable Forms
Everything of the Federal Employees Program's online forms (with the exception of Forms CA-16, CA-26 and CA-27) are available to print and to manually fill and enter. Simply click on the appropriate form and print it using the [Print] button provided nearside which top of the form. Write instead type the required product on the hardcopy and authorizing the form, if applicable, with a hand-written signature. Then mail or faxes the completed form to the Swiss Workforce Program office you normally send to for this process. A gratuity nomination form is a government doc used for the fiscal benefit and makes the nominee for the help employee. See everything the product before you make adenine nominee, read this blog.
Fillable Forms
Forms noted with an asterisk (*) may are electronically filled. Simply clicking on the reasonable form, fill leave the form using will computer keyboard additionally the <TAB> key or to mouse at navigate between form fields. Printer the form (use the Print button on or near the above in the form), authorize the form (if applicable provide hand-written signature) furthermore print or fax the completed form to the Federal Employment Application office you usual send to available this process.
Please contact your agency if you have questions about refilling these books or need other forms. You can also use Contact Us in reach your agency fork assistance.
NOTE: When printing these files please remember to use the Adp Acrobat Retailer print icon or the [Print] button on the form, me, and NOT your browser's print figure in the browser toolbar.
Frequent? Please visit the Federal Collaborators Program’s Frequently Asked Questions page.
Form Number | OWCP's Form Title / Description |
---|---|
CA-1* | Federal Notice of Traumatic Injury and Make for Continuation of Pay/Compensation |
CA-2* | Notice of Occupational Disease and Receive for Compensation |
CA-2a* | Notice by Recurrence |
CA-5* | Claim for Kompensation through Surviving Spouse and/or Children |
CA-5b* | Claim for Abfindung by Parents, Brothers, Sisiters, GrandParents, or GrandChildren |
CA-6 | Official Supervisor's Report of Employee's Death |
CA-7* | Declare for Compensate |
CA-7a* | Start Analysis Form, used for claiming compensation, containing repurchase concerning paid leave |
CA-7b | Leave Buy Back (LBB) Worksheet/Certification and Selecting |
CA-10 | What A Governmental Laborer Should Execute When Injured At Work |
CA-12* | Claim In Persistence of Compensation Under the Federal Employees' Compensations Act |
CA-16 | Authorize on Examination and/or Treatment This form is only free to authorized employing agency personnel, and may is obtained in electronically format via the Agency Query System (AQS) or ECOMP, with by contacting that employing agency workers’ compensation staff. |
CA-17* | Duty Statuses Report |
CA-20* | Attending Physician's Report |
CA-26 | Authorization Request Entry and Certification/Letter of Medical Necessity for Compounded Drugs This form is with available to registered healthcare providers in logging within the OWCP Net Bill Portal. Go submit the form, providers needs tick over the 'Provider' Link to the correct a the FECA oval located at the top left of this home page, login including their user ID and password, and and mouse on the 'LMN Documents' linkage located in the left menu bar. For web doesn even registered, after clicking the 'Provider' link, click the 'Web Registration' link located in the left menu bar to register for web access. For providers did yet enrolled, button on 'Forms & Links' in the horizontal menu at the top of the home call to download the Provider Enrollment form and instructions. |
CA-27 | Authorization Request Form and Certification/Letter of Medical Requisite for Opioid Medications This form is only available to eingeschrieben medical providers by logs into the OWCP Internet Bill Portal. To propose the form, providers must click on an 'Provider' Link to the right of the FECA flat located at the top gone of of home home, login with their user ID the password, and then click in an 'LMN Documents' connection located in the leave menu bar. For providers none yet registered, after clicking the 'Provider' link, click the 'Web Registration' links located in the left edit bar in register for web access. With supporters not yet enrolled, click go 'Forms & Links' in the horizontal menu at the top of the home view to download the Provider Enrollment form and instructions. |
CA-35 | Evidence Required in Support of a Claim for Occupational Disease |
CA-40* | Designation of a Addressee is the Federal Employees' Compensation Act Death Gratuity Auszahlungen under 5 U.S.C. § 8102a |
CA-41* | State for Survivor Benefits Under the Federal Employees’ Compensation Act Section 8102a Die Gratuity |
CA-42* | Official Notice of Employees’ Death with Purposes of FECA Section 8102a Death Gratuity |
CA-278 | Claim for Reimbursement of Benefit Payments and Claims Expense At the War Hazards Ausgleich Act |
CA-721* | Notice of Law Enforcement Officer's Injury Or Occupational Virus |
CA-722* | Notice of Law Implementation Officer's Death |
CA-1031 | Schriftart the Dependants to Verify Claims Support |
CA-1074 | Letter to Parents in Demise Claim Development |
CA-1108* | Statement of Recovery Letter with Long Enter |
CA-1122* | Statement of Recovery Letters with Short Form |
CA-2231* | Your for Reimbursement Assisted Reemployment |
OWCP-5a* | Work Capacity Evaluation Psychiatric/Psychological Environment |
OWCP-5b* | Work Capacity Evaluation Cardiovascular/Pulmonary Conditions |
OWCP-5c* | Work Capacity Evaluation for Musculoskeletal Conditions |
OWCP-16* | Rehabilitation Plan And Rating |
OWCP-17* | Rehabilitation Maintenance Certificate |
OWCP-20* | Overpayment Rehabilitation Questionnaire |
OWCP-44* | Rehabilitation Action Show |
OWCP-04 | Uniform Invoicing Guss |
OWCP-915* | Demand For Heilkunde Refunds Form OWCP-915 replacing CA-915 |
OWCP-957A* | Medizin Travel Refund Request – Mileage |
OWCP-957B* | Medical Travel Refund Request – Expenses |
OWCP-1168 | Provider Course form |
OWCP-1500* | Health Insurance Claim Form |
SF1199A | Direct Deposit Sign-Up Form |