Get Dol Ca-7

The DoL CA-7 form is essential for employees seeking compensation for work-related injuries. This guide provides clear, step-by-step instructions on how to effectively fill out the form online, ensuring a smooth submission process.

Follow the steps to successfully complete the DoL CA-7 online.

1. Click ‘Get Form’ button to obtain the form and open it in the editor.
2. In Section 1, input the employee's name, mailing address, and other personal information including the OWCP file number and date of injury. Ensure that all details are accurate to prevent delays.
3. Section 2 requires you to specify the type of compensation you are claiming. Mark applicable options such as leave without pay or other wage loss. Be clear and specific about the dates involved.
4. In Section 3, report any earnings from employment outside your federal job during the claimed periods. Fully disclose all income types, as failing to report may have serious consequences.
5. Section 4 determines if this is your first claim for the specific injury. Depending on your answer, complete the appropriate sections regarding direct deposit and dependent status.
6. In Section 5, list dependents and include relevant details like social security number and relationship. If necessary, attach additional sheets with information.
7. Complete Sections 6 and 7, confirming any other claims you may have made against third parties or for disability benefits. Certify that all information is accurate and true.
8. Finally, review all sections for completeness. Save changes, and choose to download, print, or share the form as needed.

Ensure your compensation claim is handled promptly by completing the DoL CA-7 form online today.