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Submit forms online through the Employees' Compensation Operations and Management Portal (ECOMP). On the ECOMP site you can register for an account, initiate a claim, upload documents, submit forms, and access your case. OWCP's Federal Employees Program has made a variety of forms available online. These forms are only available in PDF format.
CA-7a (Form Name - Time Analysis Form, used for claiming compensation, including repurchase of paid leave; Agency - Office of Workers' Compensation Programs - Division of Federal Employees', Longshore and Harbor Workers' Compensation)
Individuals injured on the job while employed by private companies or state and local government agencies should contact their state workers' compensation board. The Department of Labor has several programs designed to prevent work-related injuries and illnesses.
The Office of Workers' Compensation Programs administers four major disability compensation programs which provide wage replacement benefits, medical treatment, vocational rehabilitation and other benefits to certain workers or their dependents who experience work-related injury or occupational disease.
How do I file a workers' compensation claim? To file a workers' compensation claim, you must first register for an Employees’ Compensation Operations and Management Portal (ECOMP) account at www.ecomp.dol.gov. ECOMP is a free web-based application.
To file a claim for compensation benefits, complete and sign this form. If you have already been assigned an OWCP Case Number, please include your OWCP case number and submit electronically to the file through the DFELHWC’s Secure Electronic Access Portal (SEAPortal) (preferred method) https://seaportal.dol.gov/portal/.
Depending upon your agency, start by filing OSHA's Form 301, then file a claim using either form CA-1 (for traumatic injury) or form CA-2 (for occupational disease). After you have received an official FECA case number, you may also file form CA-7 (Claim for Compensation).
File a written claim for compensation on Form LS-203 within one year after the date of injury or last payment of compensation, whichever is later. A claim for survivor benefits must be filed within one year after the date of death.
Programs, Division of Federal Employees', Longshore and Harbor Workers' Compensation by electronic submission via OWCP web portal, facsimile or Central Mail Receipt Site. File form within 10 days from the date of injury or death or from the date the employer first
ECOMP is a free web-based application hosted by the Office of Workers' Compensation Programs (OWCP) that provides Federal agencies with an electronic system for recording workplace injuries and illnesses, and processing claims under the Federal Employees' Compensation Act (FECA).