- Form CA-7 is used to claim compensation for wage loss while in a leave without pay (LWOP) status due to disability or absence to obtain medical treatment (after continuation of pay (COP) period for traumatic injury cases).
- Form CA-7 is also used to claim leave buy back, schedule award or lost pay elements (ie, night differential, Sunday premium, holiday pay, etc).
- Form CA-7 should be submitted by an injured worker (IW) every two weeks while disabled and in a LWOP status, unless the IW has been placed on the periodic roll.
- For traumatic injury cases, Form CA-7 should be completed before the end of the COP period, if disability will continue.
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