Other Form CA-7

2025 Printable Template

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Form last updated: 03/2024. Please verify this is the current version before use.

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What is a CA-7 used for?

Form CA-7 is used by federal employees to claim compensation for wage loss due to traumatic injury or occupational disease. It is part of the process for obtaining benefits under the Federal Employees' Compensation Act (FECA).

Who needs to fill out a CA-7 form

Federal employees who have sustained a work-related injury or occupational disease and are seeking compensation for wage loss.

How to fill out a CA-7 online?

Follow these steps to complete your CA-7 form online.

Step 1
Step 1
Access the pre-loaded Form CA-7 in the PDF editor.
Step 2
Step 2
Complete all required fields accurately.
Step 3
Step 3
Specify the type of compensation being claimed.
Step 4
Step 4
List any outside earnings during the claim period.
Step 5
Step 5
Indicate if this is your first claim and provide necessary details.
Step 6
Step 6
Download the filled form in PDF format for submission.
U.S. Department of Labor - Office of Workers' Compensation Programs

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Frequently Asked Questions

Find quick answers to common questions about our PDF editor.

It is used to claim compensation for wage loss due to work-related injuries or occupational diseases.

It should be submitted as soon as possible after the injury or illness to ensure timely processing.

You can access a blank Form CA-7 directly on the U.S. Department of Labor's website or through the Employees' Compensation Operations & Management Portal (ECOMP).

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