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CA Forms

CA Forms - Department of Labor, Office of Workers' Compensation

CA forms can be found on the following Web site.

Some forms frequently used by NRCS are:

  • CA-1 Traumatic Injury and Claim for Continuation of Pay/Compensation
  • CA-2 Notice of Occupational Disease and Claim for Compensation
  • CA-2a Notice of Recurrence
  • CA-7 Claim for Compensation
  • CA-7a Time Analysis Form
  • CA-7b Leave Buy Back (LBB) Worksheet/Certification and Election
  • CA-17 Duty Status Report
  • CA-20 Attending Physician's Report