CA-6 Official Superior's Report of Employee's Death
When a federal employee dies as a result of injury in performance of duty or because of a work related disease, the death should be reported on Form CA-6.
- Form CA-6:
- eliminates the need to complete and file the official superior's report on Form CA-1 or CA-2.
- is to be completed by the deceased employee's official superior or other EA authorized official.
- should be accompanied by a certified copy of the death certificate when submitted to OWCP.
- should be submitted to OWCP no more than 10 work days after notification of the death.
- The ECOMP Agency Reviewer (AR) may file CA-6 via the "FILE NEW FORM" option found under the "FORM" menu.