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CA Forms

Last Modified: Jun 2, 2020

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The following forms are external forms located on the US Department of Labor (DOL) web site, click here for additional CA forms,

Form Number	Description
CA 1	Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation CA-1 Form Explained (PPS)
CA 2	Notice of Occupational Disease and Claim for Compensation

Form
Number

Description

CA 1

Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation

CA-1 Form Explained (PPS)

CA 2

Notice of Occupational Disease and Claim for Compensation

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CA Forms

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