Management/Cross-Craft Observation Sheet: PDF
DBCS Staffing Violation Observation Sheet: PDF
Improper Excessing Observation Sheet: PDF
OWCP Forms
https://www.dol.gov/agencies/owcp/FECA/regs/compliance/forms
CA-1 - Federal Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation: PDF
CA-2 - Notice of Occupational Disease and Claim for Compensation: PDF
CA- 2a - Notice of Recurrence: PDF
CA-7 - Claim for Compensation: PDF
CA-7a - Time Analysis Form, used for claiming compensation including purchase of paid leave: PDF
CA-7b - Leave Buy Back Worksheet: PDF
CA-10 - What A Federal Employee Should Do When Injured At Work: PDF
CA-12 - Claim For Continuance of Compensation Under the Federal Employees' Compensation Act: PDF
CA-17 - Duty Status Report: PDF
CA-20 - Attending Physician's Report: PDF
CA-35 - Evidence Required in Support of a Claim for Occupational Disease: PDF
OWCP-5a - Work Capacity Evaluation of Psyciatric/Psychological Conditions: PDF
OWCP-5b - Work Capacity Evaluation of Cardiovascular/Pulmonary Conditions: PDF
OWCP-5c - Work Capacity Evaultion for Musculoskeletal Conditions: PDF
OWCP-915 - Claim for Medical Reimbursement (Replaces CA-915): PDF
OWCP-957a - Medical Travel Refund Request, Mileage: PDF
OWCP-957b - Medical Travel Refund Request, Expenses:PDF
Fax number to submit FMLA Forms:
651-456-6062
Important Documents and Resources
FMLA Forms
Form 1 - Certifcation by a Health Care Provider for Employee's Own Serious Illness: PDF
Form 2 - Certification by a Health Care Provider for a Family Member's Serious Illness: PDF
Form 3 - Certification by Employee of Qualifying Exivency for Military Family Leave: PDF
Form 4 - Certification by a Service Member's Health Care Provider for Caregiver Military Family Leave: PDF