Get Ca 7a

The CA 7a form is essential for individuals seeking compensation under the Federal Employees' Compensation Act (FECA) for time away from work. This guide provides step-by-step instructions to help users complete the form accurately and confidently online.

Follow the steps to fill out the CA 7a form effectively.

1. Click the ‘Get Form’ button to obtain the CA 7a form and open it in your preferred online editor.
2. In Block 1, enter the name of the employee, including last name, first name, and middle initial as applicable.
3. In Block 2, fill in the social security number (SSN) of the employee.
4. For Block 3, input the OWCP (Office of Workers' Compensation Programs) file number. Ensure this is correct to avoid processing delays.
5. Block 4 requires you to indicate the period covered by the form. Enter the starting and ending dates of the leave, ensuring consistency with other required forms.
6. In Block 5, state the total hours claimed for leave without pay (LWOP) and any other leave used. This must reflect at least 10 hours unless this is your final claim.
7. Block 6 is broken into multiple columns. For each day listed, show the full date in the first column. In the second column, enter 'Y' if compensation is claimed for that date and 'N' if it is not. Subsequent columns should detail hours of LWOP, hours worked, paid holiday hours, paid leave hours, and the type of leave used.
8. In the eighth column of Block 6, provide a reason for the leave taken. Remember that any date with a compensation claim must have supporting medical evidence.
9. After completing all blocks, sign and date the form to verify the accuracy of the information provided.
10. Finally, submit the completed CA 7a form to the appropriate agency official for processing.

Complete your CA 7a form online confidently and ensure all necessary information is accurate for a smooth processing experience.