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This version of the form is not currently in use and is provided for reference only. Download this version of
Form CA-5B
for the current year.
Form CA-5B Claim for Compensation by Parents, Brothers, Sisters, Grandparents, or Grandchildren
What Is Form CA-5B?
This is a legal form that was released by the U.S. Department of Labor - Office of Workers' Compensation Programs on July 1, 2020 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-5B?A: Form CA-5B is a claim for compensation by parents, brothers, sisters, grandparents, or grandchildren.
Q: Who can file Form CA-5B?A: Parents, brothers, sisters, grandparents, or grandchildren can file Form CA-5B to claim compensation.
Q: What is the purpose of Form CA-5B?A: The purpose of Form CA-5B is to claim compensation for injuries or death of federal employees.
Q: When should Form CA-5B be filed?A: Form CA-5B should be filed within three years from the date of injury or death.
Q: What information is required on Form CA-5B?A: Form CA-5B requires information about the injured or deceased federal employee, the claimant, and the nature of the injury or death.
Q: Is there a fee to file Form CA-5B?A: No, there is no fee to file Form CA-5B.
Q: How long does it take to process Form CA-5B?A: The processing time for Form CA-5B can vary, but it typically takes several weeks to months.
Q: What should I do if I need assistance with Form CA-5B?A: If you need assistance with Form CA-5B, you can contact the Office of Workers' Compensation Programs (OWCP) for guidance.
Form Details:
- Released on July 1, 2020;
- 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;
- Fill out the form in our online filing application.
Download a fillable version of Form CA-5B 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-5B Claim for Compensation by Parents, Brothers, Sisters, Grandparents, or Grandchildren
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