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.
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.
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.
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.