Agency: Office of Workers' Compensation Programs
Total forms: 11
Forms (11)
- English
- Office of Workers' Compensation Programs
Form CA-17
Duty Status Report
- English
- Office of Workers' Compensation Programs
Form CA-2231
Claim for Reimbursement Assisted Reemployment
- English
- Office of Workers' Compensation Programs
Form CA-40
Designation of a Recipient of the Federal Employees' Compensation Act Death Gratuity Payment under 5 U.S.C. § 8102a
- English
- Office of Workers' Compensation Programs
Form CM-908
Notice of Termination, Suspension, Reduction or Increase in Benefit Payments
- English
- Office of Workers' Compensation Programs
Form CM-910
Request To Be Selected As Payee
- English
- Office of Workers' Compensation Programs
Form CM-936
Authorization For Release Of Medical Information (Black Lung Benefits)
- English
- Office of Workers' Compensation Programs
Form LS-210
Employer's Supplementary Report of Accident or Occupational Illness
- English
- Office of Workers' Compensation Programs
Form CM-623
Representative Payee Report
- English
- Office of Workers' Compensation Programs
Form LS-267
Claimant's Statement
- English
- Office of Workers' Compensation Programs
Form LS-7
Request for Intervention
- English
- Office of Workers' Compensation Programs
Form OWCP-20
Overpayment Recovery Questionnaire
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