PDF
Word
Form CA-6 Official Superior's Report of Employee's Death
What Is Form CA-6?
This is a legal form that was released by the U.S. Department of Labor on January 1, 1997 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form CA-6?
A: Form CA-6 is the Official Superior's Report of Employee's Death.
Q: What is the purpose of Form CA-6?
A: The purpose of Form CA-6 is to report an employee's death to the Office of Workers' Compensation Programs (OWCP).
Q: Who needs to complete Form CA-6?
A: The employee's supervisor or superior needs to complete Form CA-6.
Q: When should Form CA-6 be completed?
A: Form CA-6 should be completed as soon as possible after the employee's death.
Q: Are there any supporting documents required with Form CA-6?
A: Yes, the supervisor or superior should include a certified copy of the employee's death certificate with Form CA-6.
Q: Is there a deadline for submitting Form CA-6?
A: There is no specific deadline for submitting Form CA-6, but it should be filed as soon as possible after the employee's death.
Form Details:
- Released on January 1, 1997;
- The latest available edition released by the U.S. Department of Labor;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a printable version of Form CA-6 by clicking the link below or browse more documents and templates provided by the U.S. Department of Labor.
Download Form CA-6 Official Superior's Report of Employee's Death
1
2
