Form CA-722 Notice of Law Enforcement Officer's Death

Notification Icon This version of the form is not currently in use and is provided for reference only. Download this version of Form CA-722 for the current year.

Form CA-722 Notice of Law Enforcement Officer's Death

What Is Form CA-722?

This is a legal form that was released by the U.S. Department of Labor - Office of Workers' Compensation Programs on March 1, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form CA-722?
A: Form CA-722 is a Notice of Law Enforcement Officer's Death.

Q: Who files Form CA-722?
A: Form CA-722 is typically filed by the law enforcement agency upon the death of a law enforcement officer.

Q: What is the purpose of Form CA-722?
A: The purpose of Form CA-722 is to provide notification of the death of a law enforcement officer to the appropriate federal agencies.

Q: What information is required on Form CA-722?
A: Form CA-722 typically requires information about the deceased law enforcement officer, including details about the circumstances of their death.

ADVERTISEMENT

Form Details:

  • Released on March 1, 2017;
  • The latest available edition released by the U.S. Department of Labor - Office of Workers' Compensation Programs;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;

Download a fillable version of Form CA-722 by clicking the link below or browse more documents and templates provided by the U.S. Department of Labor - Office of Workers' Compensation Programs.

Download Form CA-722 Notice of Law Enforcement Officer's Death

4.4 of 5 (29 votes)
  • Form CA-722 Notice of Law Enforcement Officer's Death

    1

  • Form CA-722 Notice of Law Enforcement Officer's Death, Page 2

    2

  • Form CA-722 Notice of Law Enforcement Officer's Death, Page 3

    3

  • Form CA-722 Notice of Law Enforcement Officer's Death, Page 4

    4

  • Form CA-722 Notice of Law Enforcement Officer's Death, Page 5

    5

  • Form CA-722 Notice of Law Enforcement Officer's Death, Page 6

    6

  • Form CA-722 Notice of Law Enforcement Officers Death, Page 1
  • Form CA-722 Notice of Law Enforcement Officers Death, Page 2
  • Form CA-722 Notice of Law Enforcement Officers Death, Page 3
  • Form CA-722 Notice of Law Enforcement Officers Death, Page 4
  • Form CA-722 Notice of Law Enforcement Officers Death, Page 5
  • Form CA-722 Notice of Law Enforcement Officers Death, Page 6
Prev 1 2 3 4 5 6 Next
ADVERTISEMENT