FECA Medical Report Forms

Department of Labor

Documents

Comments

Description

These forms are used for filing claims for wage loss due to a Federal employment-related injury, and to obtain necessary medical documentation to determine whether a claimant is entitled to benefits under the Federal Employees Compensation Act (FECA).

Key Dates

Comment Period OpensMar 20, 2026

Comment Period ClosesMay 20, 2026

Documents

Type	Title	Posted	Comments	Status
Notice	Agency Information Collection Activities; Proposals, Submissions, and Approvals: Federal Employees' Compensation Act Medical Report Forms, Claim for Compensation FR Doc: 2026-05498	Mar 20, 2026

Data from Regulations.gov