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87
![Form CA-7a "Time Analysis Form"](https://data.templateroller.com/pdf_docs_html/1731/17317/1731740/form-ca-7a-time-analysis-form.png "Form CA-7a "Time Analysis Form"")
Form CA-7a "Time Analysis Form"
Size: 133 KB
2 pages
This form is supposed to be used when a federal worker claims reimbursement for more than one consecutive period of leave. The application can be submitted by federal workers during their compensation cases.
![Form CMS-1500 "Health Insurance Claim Form"](https://data.templateroller.com/pdf_docs_html/2049/20492/2049228/form-cms-1500-health-insurance-claim-form.png "Form CMS-1500 "Health Insurance Claim Form"")
Form CMS-1500 "Health Insurance Claim Form"
Size: 1 MB
4 pages
Physicians and other healthcare providers and professionals may use this legal document to submit claims for medical services. Form CMS-1500 provides information about the patient and insured, their diagnosis, treatment, and insurance details.
![Form AB-1 "Application for Review Form"](https://data.templateroller.com/pdf_docs_html/2142/21429/2142943/form-ab-1-application-for-review-form.png "Form AB-1 "Application for Review Form"")
![Form WH-4 "Nonimmigrant Worker Information Form"](https://data.templateroller.com/pdf_docs_html/1904/19043/1904337/form-wh-4-nonimmigrant-worker-information-form.png "Form WH-4 "Nonimmigrant Worker Information Form"")
![Form CA-1 "Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation"](https://data.templateroller.com/pdf_docs_html/1704/17042/1704283/form-ca-1-federal-employee-s-notice-traumatic-injury-and-claim-continuation-pay-compensation.png "Form CA-1 "Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation"")
![Form WH-2 "Application for Special Industrial Homeworker's Certificate"](https://data.templateroller.com/pdf_docs_html/2234/22347/2234792/form-wh-2-application-for-special-industrial-homeworker-s-certificate.png "Form WH-2 "Application for Special Industrial Homeworker's Certificate"")
![Form CA-6 "Official Superior's Report of Employee's Death"](https://data.templateroller.com/pdf_docs_html/1731/17314/1731473/form-ca-6-official-superior-s-report-employee-s-death.png "Form CA-6 "Official Superior's Report of Employee's Death"")
![Form M-1 "Report for Multiple Employer Welfare Arrangements (Mewas) and Certain Entities Claiming Exception (Eces)", 2015](https://data.templateroller.com/pdf_docs_html/2049/20493/2049317/form-m-1-report-for-multiple-employer-welfare-arrangements-mewas-and-certain-entities-claiming-exception-eces.png "Form M-1 "Report for Multiple Employer Welfare Arrangements (Mewas) and Certain Entities Claiming Exception (Eces)", 2015")
![Instructions for Form M-1 "Report for Multiple Employer Welfare Arrangements (Mewas) and Certain Entities Claiming Exception (Eces)"](https://data.templateroller.com/pdf_docs_html/2049/20493/2049318/instructions-for-form-m-1-report-for-multiple-employer-welfare-arrangements-mewas-and-certain-entities-claiming-exception-eces.png "Instructions for Form M-1 "Report for Multiple Employer Welfare Arrangements (Mewas) and Certain Entities Claiming Exception (Eces)"")
![Form OWCP-17 "Rehabilitation Maintenance Certificate"](https://data.templateroller.com/pdf_docs_html/1899/18990/1899072/form-owcp-17-rehabilitation-maintenance-certificate.png "Form OWCP-17 "Rehabilitation Maintenance Certificate"")
![Form OWCP-5A "Work Capacity Evaluation - Psychiatric/Psychological Conditions"](https://data.templateroller.com/pdf_docs_html/2188/21887/2188707/form-owcp-5a-work-capacity-evaluation-psychiatric-psychological-conditions.png "Form OWCP-5A "Work Capacity Evaluation - Psychiatric/Psychological Conditions"")
![Form OWCP-5C "Work Capacity Evaluation - Musculoskeletal Conditions"](https://data.templateroller.com/pdf_docs_html/2188/21887/2188709/form-owcp-5c-work-capacity-evaluation-musculoskeletal-conditions.png "Form OWCP-5C "Work Capacity Evaluation - Musculoskeletal Conditions"")
![Form CA-17 "Duty Status Report"](https://data.templateroller.com/pdf_docs_html/2188/21887/2188703/form-ca-17-duty-status-report.png "Form CA-17 "Duty Status Report"")
![Form OWCP-44 "Rehabilitation Action Report"](https://data.templateroller.com/pdf_docs_html/2188/21887/2188706/form-owcp-44-rehabilitation-action-report.png "Form OWCP-44 "Rehabilitation Action Report"")
![Form CA-5B "Claim for Compensation by Parents, Brothers, Sisiters, Grandparents, or Grandchildren"](https://data.templateroller.com/pdf_docs_html/1741/17415/1741585/form-ca-5b-claim-for-compensation-by-parents-brothers-sisiters-grandparents-or-grandchildren.png "Form CA-5B "Claim for Compensation by Parents, Brothers, Sisiters, Grandparents, or Grandchildren"")
![Form OWCP-04 "Uniform Billing Form"](https://data.templateroller.com/pdf_docs_html/2210/22100/2210028/form-owcp-04-uniform-billing-form.png "Form OWCP-04 "Uniform Billing Form"")
![Form WH-46 "Application for Certificate to Employ Homeworkers"](https://data.templateroller.com/pdf_docs_html/2234/22347/2234787/form-wh-46-application-for-certificate-to-employ-homeworkers.png "Form WH-46 "Application for Certificate to Employ Homeworkers"")
![Formulario WH-75 "Manual Para Empleado(A) Casero(A)" (Spanish)](https://data.templateroller.com/pdf_docs_html/2234/22347/2234795/formulario-wh-75-manual-para-empleado-a-casero-a-spanish.png "Formulario WH-75 "Manual Para Empleado(A) Casero(A)" (Spanish)")
![Form WH-75 "Homeworker Handbook"](https://data.templateroller.com/pdf_docs_html/2234/22347/2234797/form-wh-75-homeworker-handbook.png "Form WH-75 "Homeworker Handbook"")
![Form LS-33 "Approval of Compromise of Third Person Cause of Action"](https://data.templateroller.com/pdf_docs_html/1733/17338/1733835/form-ls-33-approval-compromise-third-person-cause-action.png "Form LS-33 "Approval of Compromise of Third Person Cause of Action"")
![Form CA-7b "Leave Buy Back (Lbb) Worksheet/ Certification and Election"](https://data.templateroller.com/pdf_docs_html/1731/17317/1731741/form-ca-7b-leave-buy-back-lbb-worksheet-certification-and-election.png "Form CA-7b "Leave Buy Back (Lbb) Worksheet/ Certification and Election"")
![Form LS-207 "Notice of Controversion of Right to Compensation"](https://data.templateroller.com/pdf_docs_html/2234/22348/2234801/form-ls-207-notice-of-controversion-of-right-to-compensation.png "Form LS-207 "Notice of Controversion of Right to Compensation"")
![Form LS-208 "Notice of Payments"](https://data.templateroller.com/pdf_docs_html/2234/22348/2234802/form-ls-208-notice-of-payments.png "Form LS-208 "Notice of Payments"")
![Form CM-929 "Report of Changes That May Affect Your Black Lung Benefits"](https://data.templateroller.com/pdf_docs_html/2210/22100/2210026/form-cm-929-report-of-changes-that-may-affect-your-black-lung-benefits.png "Form CM-929 "Report of Changes That May Affect Your Black Lung Benefits"")
![Form ETA-232 "Domestic Agricultural in-Season Wage Report"](https://data.templateroller.com/pdf_docs_html/2133/21339/2133927/form-eta-232-domestic-agricultural-in-season-wage-report.png "Form ETA-232 "Domestic Agricultural in-Season Wage Report"")
![Form CM-911 "Miner's Claim for Benefits Under the Black Lung Benefits Act"](https://data.templateroller.com/pdf_docs_html/1899/18990/1899067/form-cm-911-miner-s-claim-benefits-under-the-black-lung-benefits-act.png "Form CM-911 "Miner's Claim for Benefits Under the Black Lung Benefits Act"")
![Form CM-910 "Request to Be Selected as Payee"](https://data.templateroller.com/pdf_docs_html/1899/18990/1899074/form-cm-910-request-to-be-selected-as-payee.png "Form CM-910 "Request to Be Selected as Payee"")
![Form LS-208 "Notice of Payments"](https://data.templateroller.com/pdf_docs_html/1899/18990/1899070/form-ls-208-notice-payments.png "Form LS-208 "Notice of Payments"")
![Form OWCP-957 "Medical Travel Refund Request"](https://data.templateroller.com/pdf_docs_html/2205/22055/2205560/form-owcp-957-medical-travel-refund-request.png "Form OWCP-957 "Medical Travel Refund Request"")
![Form LS-207 "Notice of Controversion of Right to Compensation"](https://data.templateroller.com/pdf_docs_html/1899/18990/1899068/form-ls-207-notice-controversion-right-to-compensation.png "Form LS-207 "Notice of Controversion of Right to Compensation"")
![Form LS-801 "Waiver of Service by Registered or Certified Mail for Employers and/or Insurance Carriers"](https://data.templateroller.com/pdf_docs_html/1904/19043/1904333/form-ls-801-waiver-service-by-registered-or-certified-mail-employers-and-or-insurance-carriers.png "Form LS-801 "Waiver of Service by Registered or Certified Mail for Employers and/or Insurance Carriers"")
![Form LS-206 "Payment of Compensation Without Award"](https://data.templateroller.com/pdf_docs_html/1733/17338/1733837/form-ls-206-payment-compensation-without-award.png "Form LS-206 "Payment of Compensation Without Award"")
![Form LS-203 "Employee's Claim for Compensation"](https://data.templateroller.com/pdf_docs_html/2210/22100/2210020/form-ls-203-employee-s-claim-for-compensation.png "Form LS-203 "Employee's Claim for Compensation"")
![Form LS-513 "Report of Payments"](https://data.templateroller.com/pdf_docs_html/2210/22100/2210025/form-ls-513-report-of-payments.png "Form LS-513 "Report of Payments"")
![Form CM-972 "Application for Approval of a Representative's Fee in a Black Lung Claim Proceeding Conducted by the U.S. Department of Labor"](https://data.templateroller.com/pdf_docs_html/1741/17415/1741575/form-cm-972-application-for-approval-of-a-representative-s-fee-in-a-black-lung-claim-proceeding-conducted-by-the-u-s-department-of-labor.png "Form CM-972 "Application for Approval of a Representative's Fee in a Black Lung Claim Proceeding Conducted by the U.S. Department of Labor"")
![Form SF-308 "Request for Wage Determination and Response to Request"](https://data.templateroller.com/pdf_docs_html/1733/17337/1733773/form-sf-308-request-wage-determination-and-response-to-request.png "Form SF-308 "Request for Wage Determination and Response to Request"")
![Form LS-262 "Claim for Death Benefits"](https://data.templateroller.com/pdf_docs_html/2210/22100/2210017/form-ls-262-claim-for-death-benefits.png "Form LS-262 "Claim for Death Benefits"")
![Form LS-204 "Attending Physician's Supplementary Report"](https://data.templateroller.com/pdf_docs_html/2210/22100/2210016/form-ls-204-attending-physician-s-supplementary-report.png "Form LS-204 "Attending Physician's Supplementary Report"")
![Form LS-426 "Request for Earnings Information"](https://data.templateroller.com/pdf_docs_html/1899/18990/1899073/form-ls-426-request-earnings-information.png "Form LS-426 "Request for Earnings Information"")
