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DOL Home > Find It! By Form > DOL Form |
DOL Form CA-42
Agency: | OWCP |
Title: | Official Notice of Employees’ Death for Purposes of FECA Section 8102a Death Gratuity |
Form Description: | CA-42 is used as the Official Notice of Employees' Death for Purposes of FECA Section 8102a Death Gratuity. |
OMB Control Number: | 1240-0017 |