This version of the form is not currently in use and is provided for reference only. Download this version of Form CA-2A for the current year.
This is a legal form that was released by the U.S. Department of Labor - Office of Workers' Compensation Programs on November 1, 2017 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is Form CA-2A?
A: Form CA-2A is a Notice of Recurrence form used by federal employees to report a recurrence of a work-related injury or illness.
Q: Who can use Form CA-2A?
A: Form CA-2A is specifically for federal employees who have already filed a claim for a work-related injury or illness using Form CA-1 or Form CA-2.
Q: When should you submit Form CA-2A?
A: You should submit Form CA-2A as soon as you become aware of a recurrence of a work-related injury or illness.
Q: What information is required on Form CA-2A?
A: Form CA-2A requires information about the original injury or illness, details of the recurrence, and medical evidence supporting the claim.
Q: Is there a time limit for submitting Form CA-2A?
A: Yes, you must submit Form CA-2A within three years from the date of the original injury or illness, or within one year from the date of the last compensation payment, whichever is later.
Q: What happens after submitting Form CA-2A?
A: After submitting Form CA-2A, your employing agency will review the claim and make a determination on your eligibility for benefits.
Q: Can you appeal a denial of benefits for a recurrence?
A: Yes, if your claim for a recurrence is denied, you have the right to appeal the decision.
Form Details:
Download a fillable version of Form CA-2A by clicking the link below or browse more documents and templates provided by the U.S. Department of Labor - Office of Workers' Compensation Programs.