Agency:

OWCP-DFEC

Title:

DFEC CA-12, Claim For Continuance of Compensation Under the Federal Employees' Compensation Act

Form Description:

DFEC CA-12, Claim For Continuance of Compensation Under the Federal Employees' Compensation Act: Beneficiaries of deceased federal employees may complete and submit this form to request continuation of compensation under the Federal Employees' Compensation Act.

OMB Control Number:

1215-0154

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