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How to fill out the Ca 7a online
Completing the Ca 7a form is an essential process for individuals seeking compensation under the Federal Employees' Compensation Act (FECA). This guide provides step-by-step instructions to help you accurately fill out the form online, ensuring your claims are processed smoothly.
Follow the steps to complete your Ca 7a form online.
- Click ‘Get Form’ button to obtain the form and open it in the editor.
- Begin by filling out Block 1 with your name as the employee. Provide your last name, first name, and middle initial.
- In Block 2, enter your Social Security Number (SSN), ensuring accuracy to avoid delays.
- Fill in Block 3 with your OWCP File Number, which is necessary for your claim processing.
- In Block 4, indicate the period covered by this form by providing the start and end dates of your leave. These dates must align with Forms CA-7 and CA-7b.
- For Block 5, state the total number of hours claimed for leave without pay (LWOP) and any leave time used during the specified period. Note that this should typically be a minimum of 10 hours unless it is your final claim.
- In Block 6, you will fill out multiple columns: the first column requires the full date of each absence, the second column needs a 'Yes' or 'No' regarding compensation claims for that date, and the subsequent columns require details on hours worked, holiday hours, leave hours used, and the type of leave indicated with appropriate codes.
- In the last column of Block 6, provide a brief explanation for your leave, such as attending a medical appointment. Ensure that you include any relevant medical documentation to support your claim.
- Sign and date the form in the designated areas to confirm the accuracy of your information.
- Submit the completed form to the appropriate agency official for processing.
Start filing your Ca 7a form online today for prompt and efficient processing!
A claim for COP must be submitted no later than 30 days following the injury (the form CA-1 is designed to serve as a claim for continuation of pay). If disabled and claiming COP, submit to your employing agency within 10 work days medical evidence that you sustained a disabling traumatic injury.
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