Form CA-2A Notice of Recurrence

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Form CA-2A Notice of Recurrence

What Is Form CA-2A?

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.

FAQ

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.

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Form Details:

  • Released on November 1, 2017;
  • The latest available edition released by the U.S. Department of Labor - Office of Workers' Compensation Programs;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

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.

Download Form CA-2A Notice of Recurrence

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