Directives and Forms Catalog - USPS.com® - About

Non-Postal Government Documents
Form
Number
Edition
Date
Oldest
Usable
Date Title Stock Number
Directives and Forms Catalog
Where
Used
USPS
Source
ATF 5330.3C 3/00 3/00 Release and Receipt of Imported
Firearms, Ammunition and Implements
of War (4-part set)
7530-03-000-1140 PO GPO SE
ATF 6-A 1/87 1/87 Application Permit for Import Firearms,
Ammunition Compliance of War
7530-03-000-1141 PO GPO SH
CA 1 4/99 4/99 Federal Employee’s Notice of Traumatic
Injury and Claim for Continuation of Pay/
Compensation
7530-03-000-9308 PS MDC N/A
CA 2 1/97 1/97 Notice of Occupational Disease and
Claim for Compensation
7530-03-000-9152 PS MDC SH
CA 2-A 9/96 9/96 Notice of Recurrence 7530-03-000-9148 PS MDC SH
CA 5 1/97 1/97 Claim for Compensation by Widow,
Widower, and/or Children
7530-01-000-9200 PS MDC SH
CA 5-B 1/97 1/97 Claim for Compensation by Parents,
Brothers, Sisters, Grandparents, or
Grandchildren
7530-01-000-9248 PS MDC EA
CA 6 1/97 1/97 Official Superior’s Report of Employee’s
Death
7530-04-000-5307 PS MDC SH
CA 7 11/98 11/98 Claim for Compensation 7530-03-000-9195 PS MDC SH
CA 7/CA 20 11/99 11/99 Claim for Compensation on Account of
Traumatic Injury or Occupational
Disease
7530-03-000-9195 PS MDC N/A
CA 7A 6/96 6/96 Time Analysis Form 7530-03-000-8658 PS MDC EA
CA 7B 6/96 6/96 Leave Buy Back (LBB) Worksheet/
Certification and Election
7530-03-000-8659 PS MDC EA
CA 10 8/87 8/87 What a Federal Employee Should Do
When Injured at Work (card)
7530-03-000-9355 PS MDC EA
CA 11 4/99 4/99 When Injured at Work 7530-02-000-9976 ERM MDC EA
CA 13 7/87 7/87 Work Injury Benefits for Federal
Employees (card)
7530-03-000-9035 PS MDC EA
CA 16 2/05 2/05 Authorization for Examination and/or
Treatment
7530-03-000-9302 PS MDC PK
CA 17 1/97 1/97 Duty Status Report 7530-03-000-9116 PS MDC SH
CA 20 1/99 1/99 Attending Physician’s Report
CA 35-A 8/88 8/85 Evidence Required in Support of a Claim
for Occupational Diseases
7530-01-000-9192 PS MDC SH
CA 35-B 8/88 8/85 Evidence Required in Support of a Claim
for Work-Related Hearing Loss
7530-01-000-9193 PS MDC SH
CA 35-C 10/87 10/87 Evidence Required in Support of a Claim
for Asbestos-Related Illness
7530-01-000-9194 PS MDC SH
CA 35-D 8/88 8/88 Evidence Required in Support of a Claim
for Work-Related Coronary/Vascular
Condition
7530-01-000-9195 PS MDC EA
CA 35-E 8/88 8/88 Evidence Required in Support of a Claim
for Work-Related Skin Disease
7530-02-000-9892 PS MDC SH
CA 35-F 8/88 8/88 Evidence Required in Support of a Claim
for Work-Related Pulmonary Illness (not
Asbestosis)
7530-01-000-9197 PS MDC SH
CA 35-G 8/88 8/88 Evidence Required in Support of a Claim
for Work-Related Psychiatric Illness
7530-01-000-9198 PS MDC SH
CA 35-H 10/87 10/87 Evidence Required in Support of a Claim
for Work-Related Carpal Tunnel
Syndrome
7530-02-000-7001 PS MDC SH
CA 915 2/99 2/99 Claimant Medical Reimbursement Form 7530-04-000-5308 PS MDC EA
DD 285 8/76 8/76 Appointment of Unit Mail Clerk or Mail
Orderly (card)
7530-03-000-1148 PO HQO EA
Unit of
Issue
134 Publication 223, May 2013