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This version of the form is not currently in use and is provided for reference only. Download this version of
Form CA-722
for the current year.
Form CA-722 Notice of Law Enforcement Officer's Death
What Is Form CA-722?
This is a legal form that was released by the U.S. Department of Labor - Office of Workers' Compensation Programs on March 1, 2017 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-722?
A: Form CA-722 is a Notice of Law Enforcement Officer's Death.
Q: Who files Form CA-722?
A: Form CA-722 is typically filed by the law enforcement agency upon the death of a law enforcement officer.
Q: What is the purpose of Form CA-722?
A: The purpose of Form CA-722 is to provide notification of the death of a law enforcement officer to the appropriate federal agencies.
Q: What information is required on Form CA-722?
A: Form CA-722 typically requires information about the deceased law enforcement officer, including details about the circumstances of their death.
Form Details:
- Released on March 1, 2017;
- The latest available edition released by the U.S. Department of Labor - Office of Workers' Compensation Programs;
- 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 fillable version of Form CA-722 by clicking the link below or browse more documents and templates provided by the U.S. Department of Labor - Office of Workers' Compensation Programs.
Download Form CA-722 Notice of Law Enforcement Officer's Death
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