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  • Dol Ca-2231 2016

Get Dol Ca-2231 2016-2026

Employers ' Claim For Reimbursement Assisted Reemployment (AR) ProgramU.S. Department of LaborPrintOffice of Workers ' Compensation ProgramsResetInstructions: Complete items 1 through 15 and send.

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How to use or fill out the DoL CA-2231 online

The DoL CA-2231 form is essential for employers seeking reimbursement under the Assisted Reemployment Program. This guide will provide you with clear, step-by-step instructions on how to complete the form online, ensuring a smooth submission process.

Follow the steps to effectively fill out the DoL CA-2231 online.

  1. Click ‘Get Form’ button to obtain the form and open it for editing.
  2. Enter the employer's name in the designated field, which is the first item on the form.
  3. Provide the employer's phone number in the following field.
  4. Fill in the employer's street or post office box number, along with the city, state, and zip code.
  5. Complete the employer's tax I.D. number in the specified section.
  6. Input the employer's assigned bill payment/provider number.
  7. Enter the employee's name in the relevant field, specifying last name, first name, and middle initial.
  8. Provide the employee's OWCP file number.
  9. If the employee has signed the form, proceed; otherwise, include an explanation in the comments section.
  10. Indicate the work date range claimed, filling in the 'From' and 'To' dates as well as the total work hours for reimbursement.
  11. Specify the pay rate per hour in the designated field.
  12. Fill in the total hours worked and total gross amount earned by the employee.
  13. State the amount of reimbursement claimed in the respective field.
  14. The supervisor should certify the accuracy of the provided information by signing and dating the form.
  15. Once all fields are completed, save changes, and download, print, or share the form as needed.

Complete your documentation online to ensure timely processing of your claims.

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© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Your Privacy Choices
Terms of Service
Privacy Notice
Legal Hub
Content Takedown Policy
Bug Bounty Program
About Us
Help Portal
Legal Resources
Blog
Affiliates
Contact Us
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
altaFlow
DocHub
Instapage
Social Media
Call us now toll free:
+1 833 426 79 33
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2026
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232