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Branch 43
Branch 43
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    • Home
    • Menu
      • Local Aggreements
      • Unscheduled Leave
      • Update your Information
    • Delegate Page
    • Officers
    • Resources
      • Benefits and Perks
      • FMLA
      • Carrier Resources
      • Steward Resources
      • USPS Forms
      • Workers Comp
      • News And Views
    • Events
    • Bid Awards

  • Home
  • Menu
    • Local Aggreements
    • Unscheduled Leave
    • Update your Information
  • Delegate Page
  • Officers
  • Resources
    • Benefits and Perks
    • FMLA
    • Carrier Resources
    • Steward Resources
    • USPS Forms
    • Workers Comp
    • News And Views
  • Events
  • Bid Awards

Injury Comp Forms

CA-1 Report of Traumatic Injury (pdf)

Download

CA-2 Rpt of Work Occupational (pdf)

Download

CA-2a Recurrence of Illness (pdf)

Download

CA-7 Claim for Compensation (pdf)

Download

CA-7a Time Analysis Form (pdf)

Download

CA-17 Fitness of Duty (pdf)

Download

CA-20 Physician's Report (pdf)

Download

OWCP-Form 957 (pdf)

Download

workers comp contact info

OHIO/INDIANA OWCP

Health and Resource Management

OHIO/INDIANA OWCP

 Lana Betton, District Director
(216) 902-5600
U.S. Dept. of Labor, OWCP
1240 East Ninth Street, Room 851
Cleveland, OH 44199
(216) 902-5600
Fax: (216) 902-5601

 


Send medical reports, bills and case correspondence to our new Central Mail address: 

U.S. Department of Labor
DFEC Central Mailroom - District 9
PO Box 8300 
London, KY 40742-8300

 

KENTUCKY OWCP

Health and Resource Management

OHIO/INDIANA OWCP

 Tisha Carter, District Director
(904) 366-0100

U.S. Dept. of Labor, OWCP
Charles E. Bennett Federal Building
400 West Bay Street, Room 826
Jacksonville, FL 32202
(904) 366-0100
Fax: (904) 366-0101 

 

Send medical reports, bills and case correspondence to our new Central Mail address: 

U.S. Department of Labor  

DFEC Central Mailroom - District 9 

PO Box 8300  

London, KY 40742-8300

Health and Resource Management

Health and Resource Management

Health and Resource Management

Questions or concerns, please contact Sue Grice at 614-722-9616

Branch By Laws

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