Get Dol Ca-2a 1996
How it works
-
Open form follow the instructions
-
Easily sign the form with your finger
-
Send filled & signed form or save
How to fill out the DoL CA-2a online
Filling out the DoL CA-2a form, also known as the Notice of Recurrence, is essential for employees who need to report a recurrence of a medical condition related to their previous work injury. This guide provides a clear and supportive approach to completing the form online, ensuring that you meet all necessary requirements.
Follow the steps to effectively complete the DoL CA-2a form online.
- Press the ‘Get Form’ button to access the DoL CA-2a form and open it in your preferred online editor.
- Begin by completing Part A as the employee. Fill in your name (first, middle, last), date of birth, Social Security number, and OWCP file number for the original injury. Include your home telephone number and mailing address, ensuring clarity in the provided details.
- Indicate the date and hour of the original injury, and then provide the details concerning the recurrence including the date and hour of the recurrence, and any relevant information about medical treatment received.
- Describe your condition since returning to work, including any limitations faced in carrying out your usual duties post-injury. Be comprehensive and specific in your responses.
- Explain how and when the recurrence happened. Elaborate on how your current condition relates to your original injury, ensuring all claims are accurate and truthful.
- Complete Part B if applicable, where the employing agency will provide required information regarding your duty station and dates of employment related to the recurrence.
- If you are no longer employed with the Federal Government, make sure to complete Part C, detailing your employment history and any relevant changes since the original injury.
- Review the entire form thoroughly to ensure all sections are correctly filled and that no necessary fields are left incomplete. Once satisfied, save your progress, download or print the form for your records, or share it as needed.
Complete your DoL CA-2a form online today to ensure your recurrence is officially recorded and processed.
Get form
During your appointment with a workers' comp doctor, steer clear of making comments that might downplay your injuries. For instance, avoid phrases like 'It's not that bad' or any expressions that suggest you can perform activities without pain. Clear and honest communication is vital for your case, especially when considering details outlined by the DoL CA-2a.
Get This Form Now!
Industry-leading security and compliance
-
In businnes since 199725+ years providing professional legal documents.
-
Accredited businessGuarantees that a business meets BBB accreditation standards in the US and Canada.
-
Secured by BraintreeValidated Level 1 PCI DSS compliant payment gateway that accepts most major credit and debit card brands from across the globe.