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Get DoL CA-2a 2017

Rization also permits any official representative of the Office to examine and to copy any records concerning me. 23. Signature of employee 24. Date (Mo./Day/Yr.) If you have a disability and are in need of communication assistance (such as alternate formats or sign language interpretation), accommodations and/or modifications, please contact OWCP. See form instructions for REQUESTS FOR ACCOMMODATIONS OR AUXILIARY AIDS AND SERVICES. CA-2a (Rev. 11-17) Part B - Federal Employing Agency 25. .

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