Content Last Revised: 2/14/75 ---DISCLAIMER---

CFR	Code of Federal Regulations Pertaining to U.S. Department of Labor

Title 20

Employees' Benefits

Chapter I

Office of Workers' Compensation Programs, Department of Labor

Part 10

Claims for Compensation Under the Federal Employees' Compensation Act, As Amended

Subpart H

Special Provisions

• Section Number: 10.737
• Section Name: How is a LEO claim filed, and who can file a LEO claim?

    A claim for injury or occupational disease should be filed on Form 
CA-721; a death claim should be filed on Form CA-722. All claims should 
be submitted to the officer's employer for completion and forwarding to 
OWCP. A claim may be filed by the officer, the officer's survivor, or 
any person or association authorized to act on behalf of an officer or 
an officer's survivors.