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CA-7a = Time Analysis form:

  • Supplements Form CA-7 when disability/time loss from work is intermittent or for partial days.
  • Allows for individual hours to be claimed on specific days in a claimed period, rather than full days.
  • Is used to document and claim time lost due to OWCP related medical appointments and treatments.
  • Compensation payments for medical appointments must be supported by attendance records or medical evidence in file.

Form CA-7a