Detroitborder

OWCP Forms and Filing Timeline

The National Border Patrol Council developed this table of the most commonly used OWCP forms and the respective timeline for filing each form. For a fillable version of the form, click on the form number. Additional Form are located on the DOL DFEC forms page.

Download a PDF version of this table

 FORM  TITLE USE  EMPLOYEE TIMELINE  AGENCY TIMELINE
CA-1 Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation Traumatic injury, occurs within one work shift Within 30 days of injury to get COP; within 3 years for eligibility Submit to OWCP within 10 days of receipt from employee 
 CA-2 Notice of Occupational Illness/Disease and Claim for Compensation Long term or chronic illness or disease 3 years from date first aware of nexus to employment  Submit to OWCP within 10 days of receipt from employee
 CA-2a Notice Employee’s Recurrence of Disability and Claim for Pay/ Compensation After returning to work, the employee needs to stop work due to injury / illness As soon as possible* Submit to OWCP within 10 days of receipt from employee
 CA-7 Claim for Compensation Request compensation for wage loss (not COP In traumatic injury cases, submit 10 days before end of COP; otherwise, as soon as pay stops (tied to pay periods) Submit to OWCP within 5 days of receipt from employee
 CA-7a Time Analysis Claiming intermittent compensation, partial days, or repurchase of leave Submit 10 days before end of COP; otherwise, as soon as pay stops (tied to pay periods) Submit to OWCP within 5 days of receipt from employee
 CA-7b Leave Buy Back Claiming repurchase of accrued leave used due to injury / illness* Submit 10 days before end of COP; otherwise, as soon as pay stops (tied to pay periods)  Submit to OWCP within 5 days of receipt from employee 
 CA-16 Authorization for Examination and/or Treatment Guarantees payment of medical care after a traumatic injury  Obtain ASAP, within 4 hours; NLT 7 days from DOI; MD submits to OWCP Issue within 4 hours of injury; 48 hours if verbal authorization given
CA-20 Attending Physician's Report Provides medical support for claim Submit to OWCP ASAP following examination(s) N/A
CA-35

Evidence Required in Support of a Claim for Occupational Disease

Provides medical support for specific conditions Upon completion , should be submitted directly to OWCP N/A
OWCP-915 Claim for Medical Reimbursement Claim reimbursement for out of pocket expenses (co-pay, medication, DMEs) Date of service +12 months* N/A
OWCP-957   Medical Travel Refund Request  Claim for reimbursable travel r/t treatment  12 months from date of service  N/A
OWCP-1500 Health Insurance Claim Form   Standard billing form  Physician submits; DOS +12 months*  N/A

Know Your Rights

  • Article 26 N +

    Article 26 N - The Agency agrees that for operational details requiring advance planning, as much advance notice as possible will Read More
  • Article 28 B +

    Article 28 B - Assignment of tours of duty shall be posted five days in advance in the appropriate work area Read More
  • Article 33 E Step I +

    Article 33 E Step I - Informal grievances must be filed within thirty calendar days after the incident occurs. This time Read More
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