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CA FORMS

CA 1 NOTICE of TRAUMATIC INJURYCA 2 NOTICE of OCCUPATIONAL DISEASECA 2A NOTICE of RECURRENCECA 5 CLAIM for COMPENSATION BY WIDOWCA 5B CLAIM for COMPENSATION BY PARENTSCA 6 OFFICIAL REPORT OF DEATHCA 7 CLAIM for COMPENSATIONCA 7A TIME ANALYSIS FORMCA 7B LEAVE BUYBACK WORKSHEETCA 10 WHAT TO DO WHEN INJURED AT WORKCA 12 CLAIM for CONTINUANCE of COMPENSATIONCA 16 This form, Authorization for Treatment, can only be provided by the employer CA 17 DUTY STATUS REPORTCA 20 ATTENDING PHYSICIAN'S REPORTCA 35 EVIDENCE REQUIRED for OCCUPATIONAL DISEASECA 915 CLAIMANT MEDICAL REIMBURSEMENT FORMCA 957 CLAIMANT MILAGE REIMBURSEMENT FORM
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NALC BRANCH 35

10112 Chicot Rd # 212 Little Rock, Arkansas 72209

(501) 565-8105

Copyright © 2024 NALC Branch 35 - All Rights Reserved.B&H


President Chad Dollar

Vice President Mike Anderson


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Every day, children are born with muscular dystrophy and adults are diagnosed with ALS and other life-threatening diseases that take away their most basic freedoms - like walking, talking, eating, hugging, and  ultimately life itself. Our team NALC Branch 35 is raising money to help MDA fight  back!

Donation