Get Dol Ca-2a 2024-2025

The DoL CA-2a form, also known as the Notice of Recurrence, is crucial for employees seeking to document a recurrence of a work-related condition. This guide provides clear, step-by-step instructions to assist users in completing the form accurately and efficiently online, ensuring that you meet all necessary requirements.

Follow the steps to complete the DoL CA-2a online efficiently.

1. Click the ‘Get Form’ button to access the DoL CA-2a, opening it in your preferred editor.
2. Begin with Part A, where the employee provides their name, Social Security number, OWCP file number, and other personal information. Ensure that all details are accurate.
3. Proceed to fill in the Date of Birth, home telephone number, and sex. It's important to provide correct contact details.
4. In the mailing address section, include the full street address, city, state, and ZIP code as per the instructions for address requirements.
5. Indicate your dependents, if applicable, confirming if you have a spouse or any children under 18 years.
6. Input the name and address of the employing agency at the time of the original injury, along with the original injury’s date and hour.
7. Record the date and hour of the recurrence and any subsequent work stoppage periods.
8. Detail any claims for medical treatment, including if you are also requesting compensation for continuation of pay.
9. Provide comprehensive descriptions of your limitations, ongoing condition, and medical treatment received since the original injury.
10. Carefully review all responses for accuracy and completeness before signing and dating the form.

Ensure you complete and submit your DoL CA-2a online to facilitate a smooth claims process.