About OWCP Form CA-5

The OWCP Form CA-5 is titled “Claim for Compensation by Widow, Widower, and/or Children”. It is used to file a claim for benefits with the Office of Workers’ Compensation Programs (OWCP) by surviving dependents of a federal employee who died as a result of a work-related injury or illness.

Here’s some additional information about the form CA-5:

• Who can file: This form can be filed by a surviving spouse, dependent children, or a parent or legal guardian of dependent children of a deceased federal employee.
• What it’s for: The form is used to initiate the process of claiming benefits under the Federal Employees’ Compensation Act (FECA). These benefits may include financial compensation, medical care, and vocational rehabilitation.
• Where to find the form: You can download the form CA-5 and find instructions for completing it on the U.S. Department of Labor website at https://www.dol.gov/agencies/owcp/FECA/regs/compliance/forms.

It’s important to note that the claims process can be complex, and it’s recommended that you seek legal advice from an attorney specializing in federal workers’ compensation to assist you in filing your claim. You can find a list of attorneys on the OWCP website at https://www.dol.gov/agencies/owcp and doctors here