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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-721
for the current year.
Form CA-721 Notice of Law Enforcement Officer's Injury or Occupational Disease
What Is Form CA-721?
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-721?
A: Form CA-721 is a Notice of Law Enforcement Officer's Injury or Occupational Disease.
Q: Who uses Form CA-721?
A: Form CA-721 is used by law enforcement officers to report their injury or occupational disease.
Q: What is the purpose of Form CA-721?
A: The purpose of Form CA-721 is to notify the appropriate authorities and seek compensation for a law enforcement officer's injury or occupational disease.
Q: How should Form CA-721 be completed?
A: Form CA-721 should be completed accurately and thoroughly, providing all the necessary details about the injury or occupational disease.
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-721 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-721 Notice of Law Enforcement Officer's Injury or Occupational Disease
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