CA-1 Report of Traumatic Injury (pdf)
DownloadCA-2 Rpt of Work Occupational (pdf)
DownloadCA-2a Recurrence of Illness (pdf)
DownloadCA-7 Claim for Compensation (pdf)
DownloadCA-7a Time Analysis Form (pdf)
DownloadCA-17 Fitness of Duty (pdf)
DownloadOWCP-Form 957 (pdf)
DownloadCA-20 Physician's Report (pdf)
Download 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
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
Questions or concerns, please contact Sue Grice at 614-722-9616