U.S. Department of State FOIA Electronic Reading Room

The Wayback Machine - https://web.archive.org/all/20041221022828/http://www.foia.state.gov:80/FORMS/Employment.asp

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Employment / Benefits Forms

--	CA-1 Federal Employee's Notice of Traumatic Injury and Claim for Continuation of Pay / Compensation
--	CA-2 Notice of Occupational Disease and Claim for Compensation
--	CA-2-A Notice of Recurrence
--	CA-5 Claim for Compensation by Widow, Widower, and / or Children
--	CA-5-B Claim for Compensation by Parents, Brothers, Sisters, Grandparents, or Grandchildren
--	CA-6 Official Superior's Report of Employee's Death
--	CA-7 Claim for Compensation
--	CA-7-A Time Analysis
--	CA-7-B Leave Buy Back (LBB) Worksheet / Certification and Election
--	CA-12 Claim for Continuance of Compensation under the Federal Employees' Compensation Act
--	CA-17 Duty Status Report
--	CA-20 Attending Physician's Report
--	CA-35 Evidence Required in Support of a Claim for Occupational Disease
--	DS-1622 Medical History and Examination for Foreign Service (for children 11 years and under)
--	DS-1843 Medical History and Examination for Foreign Service (for persons 12 years and over)
--	DS-1950 Application for Employment
--	DS-4002 Disclosure and Authorization Pertaining to Consumer Reports
--	DS-4017 Statement of Interest Foreign Service Officer
--	DS-4018 Statement of Interest Student Employment
--	I-9 Employment Eligibility Verification
--	OF-306 Declaration for Federal Employment
--	OPM-71 Request for Leave or Approved Absence
--	OPM-630 Application to Become a Leave Recipient under teh Voluntary Leave Transfer Program
--	OPM-630-A Request to Donate Annual Leave to Leave Recipient under the Voluntary Leave Transfer Program (Leave Donor)
--	OPM-630-B Request to Donate Annual Leave to Leave Recipient under the Voluntary Leave Transfer Program (Outside Agency)
--	OPM-630-C Transfer of Leave Records for Leave Recipient Covered by the Voluntary Leave Transfer Program
--	OPM-1637 Application to Become a Leave Recipient under teh Emergency Leave Transfer Program
--	OPM-1638 Request to Donate Annual Leave under the Emergency Leave Transfer Program
--	OPM-1639 Transfer of Donated Annual Leave To or From the Emergency Leave Transfer Program
--	OWCP-5-B Work Capacity Evaluation Cardiovascular / Pulmonary Conditions
--	OWCP-5-C Work Capacity Evaluation Musculoskeletal Conditions
--	OWCP-16 Rehabilitation Plan and Award
--	OWCP-17 Rehabilitation Maintenance Certificate
--	OWCP-20 Overpayment Recovery Questionaire
--	OWCP-44 Rehabilitation Action Report
--	OWCP-915 Claim for Medical Reimbursement
--	OWCP-957 Medical Travel Refund Request
--	OWCP-1500 Health Insurance Claim Form
--	SF-61 Appointment Affidavits
--	SF-85 Questionnaire for Non-Sensitive Positions
--	SF-85-P Questionnaire for Public Trust Positions
--	SF-85-PS Supplemental Questionnaire for Selected Positions
--	SF-86 Questionnaire for National Security Positions
--	SF-86-A Continuation Sheet for Questionnaires SF-85, SF-85P, and SF-86
--	SF-256 Self-Identification of Reportable Handicap
--	SF-144 Statement of Prior Federal Service
--	UB-92 Uniform Health Insurance Claim Form
--	W-4 Employee's Withholding Allowance Certificate
--	WH-380 Certification of Health Care Provider

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