Form CA-721 Notice of Law Enforcement Officer's Injury or Occupational Disease

This version of the form is not currently in use and is provided for reference only. Download this version of Form CA-721 for the current year.

Form CA-721 Notice of Law Enforcement Officer's Injury or Occupational Disease

What Is Form CA-721?

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-721?
A: Form CA-721 is a Notice of Law Enforcement Officer's Injury or Occupational Disease.

Q: Who uses Form CA-721?
A: Form CA-721 is used by law enforcement officers to report their injury or occupational disease.

Q: What is the purpose of Form CA-721?
A: The purpose of Form CA-721 is to notify the appropriate authorities and seek compensation for a law enforcement officer's injury or occupational disease.

Q: How should Form CA-721 be completed?
A: Form CA-721 should be completed accurately and thoroughly, providing all the necessary details about the injury or occupational disease.

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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;
  • Fill out the form in our online filing application.

Download a fillable version of Form CA-721 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-721 Notice of Law Enforcement Officer's Injury or Occupational Disease

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