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Form CA-1122 Short Form Statement of Recovery
What Is Form CA-1122?
This is a legal form that was released by the U.S. Department of Labor - Office of Workers' Compensation Programs on February 1, 2022 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-1122?
A: Form CA-1122 is a Short Form Statement of Recovery.
Q: What is the purpose of Form CA-1122?
A: The purpose of Form CA-1122 is to document the recovery of overpayments made by government agencies.
Q: Who uses Form CA-1122?
A: Form CA-1122 is used by government agencies to report the recovery of overpayments.
Q: What information is required on Form CA-1122?
A: Form CA-1122 requires information such as the agency name, the payee name, the amount of the overpayment, and the method of recovery.
Q: Is Form CA-1122 mandatory?
A: The requirement to use Form CA-1122 may vary depending on the specific government agency's policies and procedures.
Form Details:
- Released on February 1, 2022;
- 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-1122 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-1122 Short Form Statement of Recovery
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