# 20 C.F.R. § 10.7 (2026): What forms are needed to process claims under the FECA?

> Federal · Regulations · In force

URL: https://www.frixlaw.com/law-library/statutes/CFR_T20_P10_S10_7

## Section

- **Citation:** 20 C.F.R. § 10.7 (2026)
- **Heading:** What forms are needed to process claims under the FECA?
- **Jurisdiction:** Federal
- **Kind:** Regulations
- **Status:** In force
- **Text as of:** August 14, 2026
- **Source:** Compiled text
- **Location:** Title 20 CFR: Employees' Benefits / Chapter I: OFFICE OF WORKERS' COMPENSATION PROGRAMS, DEPARTMENT OF LABOR / Part 10: CLAIMS FOR COMPENSATION UNDER THE FEDERAL EMPLOYEES' COMPENSATION ACT, AS AMENDED / Subpart A: General Provisions / § 10.7: § 10.7   What forms are needed to process claims under the FECA?

## Text

(a) Notice of injury, claims and certain specified reports shall be made on forms prescribed by OWCP. Employers shall not modify these forms or use substitute forms. Employers are expected to maintain an adequate supply of the basic forms needed for the proper recording and reporting of injuries.
Form No.
Title
(1) CA-1
Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation.
(2) CA-2
Notice of Occupational Disease and Claim for Compensation.
(3) CA-2a
Notice of Employee's Recurrence of Disability and Claim for Pay/Compensation.
(4) CA-3
Report of Work Status.
(5) CA-5
Claim for Compensation by Widow, Widower and/or Children.
(6) CA-5b
Claim for Compensation by Parents, Brothers, Sisters, Grandparents, or Grandchildren.
(7) CA-6
Official Superior's Report of Employee's Death.
(8) CA-7
Claim for Compensation Due to Traumatic Injury or Occupational Disease.
(9) CA-7a
Time Analysis Form.
(10) CA-7b
Leave Buy Back (LBB) Worksheet/Certification and Election.
(11) CA-16
Authorization of Examination and/or Treatment.
(12) CA-17
Duty Status Report.
(13) CA-20
Attending Physician's Report.
(14) CA-20a
Attending Physician's Supplemental Report.
(15) CA-40
Designation of a Recipient of the Federal Employees' Compensation Act Death Gratuity Payment under Section 1105 of Public Law 110-181 (Section 8102a).
(16) CA-41
Claim for Survivor Benefits Under the Federal Employees' Compensation Act Section 8102a Death Gratuity.
(17) CA-42
Official Notice of Employees' Death for Purposes of FECA Section 8102a Death Gratuity.
(18) CA-1108
Statement of Recovery Letter with Long Form.
(19) CA-1122
Statement of Recovery Letter with Short Form.
(b) Copies of the forms listed in this paragraph are available for public inspection at the Office of Workers' Compensation Programs, U.S. Department of Labor, Washington, DC 20210. They may also be obtained from district offices, employers (
i.e.,
safety and health offices, supervisors), and the Internet, at
http://www.dol.gov.

## Nearby sections

- [20 C.F.R. § 10.0 (2026) § 10.0   What are the provisions of the FECA, in general?](https://www.frixlaw.com/law-library/statutes/CFR_T20_P10_S10_0.md)
- [20 C.F.R. § 10.1 (2026) § 10.1   What rules govern the administration of the FECA and this chapter?](https://www.frixlaw.com/law-library/statutes/CFR_T20_P10_S10_1.md)
- [20 C.F.R. § 10.2 (2026) § 10.2   What do these regulations contain?](https://www.frixlaw.com/law-library/statutes/CFR_T20_P10_S10_2.md)
- [20 C.F.R. § 10.3 (2026) § 10.3   Have the collection of information requirements of this part been approved by the Office of Management and Budget (OMB)?](https://www.frixlaw.com/law-library/statutes/CFR_T20_P10_S10_3.md)
- [20 C.F.R. § 10.5 (2026) § 10.5   What definitions apply to the regulations in this subchapter?](https://www.frixlaw.com/law-library/statutes/CFR_T20_P10_S10_5.md)
- [20 C.F.R. § 10.6 (2026) § 10.6   What special statutory definitions apply to dependents and survivors?](https://www.frixlaw.com/law-library/statutes/CFR_T20_P10_S10_6.md)
- [20 C.F.R. § 10.7 (2026) § 10.7   What forms are needed to process claims under the FECA?](https://www.frixlaw.com/law-library/statutes/CFR_T20_P10_S10_7.md)
- [20 C.F.R. § 10.10 (2026) § 10.10   Are all documents relating to claims filed under the FECA considered confidential?](https://www.frixlaw.com/law-library/statutes/CFR_T20_P10_S10_10.md)
- [20 C.F.R. § 10.11 (2026) § 10.11   Who maintains custody and control of FECA records?](https://www.frixlaw.com/law-library/statutes/CFR_T20_P10_S10_11.md)
- [20 C.F.R. § 10.12 (2026) § 10.12   How may a FECA claimant or beneficiary obtain copies of protected records?](https://www.frixlaw.com/law-library/statutes/CFR_T20_P10_S10_12.md)
- [20 C.F.R. § 10.13 (2026) § 10.13   What process is used by a person who wants to correct FECA-related documents?](https://www.frixlaw.com/law-library/statutes/CFR_T20_P10_S10_13.md)
- [20 C.F.R. § 10.15 (2026) § 10.15   May compensation rights be waived?](https://www.frixlaw.com/law-library/statutes/CFR_T20_P10_S10_15.md)
- [20 C.F.R. § 10.16 (2026) § 10.16   What criminal and civil penalties may be imposed in connection with a claim under the FECA?](https://www.frixlaw.com/law-library/statutes/CFR_T20_P10_S10_16.md)
- [20 C.F.R. § 10.17 (2026) § 10.17   Is a beneficiary who defrauds the Government in connection with a claim for benefits still entitled to those benefits?](https://www.frixlaw.com/law-library/statutes/CFR_T20_P10_S10_17.md)

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Source: Frix Law Library, https://www.frixlaw.com/law-library/statutes/CFR_T20_P10_S10_7. Check the current official text before relying on it. Not legal advice.
