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View ESA-OWCP-DFEC's Form Online 
| Agency: |
ESA-OWCP-DFEC |
| Title: |
DFEC CA-6, Official Supervisor's Report of Employee's Death |
| Form Description: |
DFEC CA-6, Official Supervisor's Report of Employee's Death: This form is completed by a deceased employee's official superior or other authorized official of the employing agency when a Federal employee dies as a result of an employment related injury or disease. |
| OMB Control Number: |
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| OMB Expiration Date: |
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