Form CA-2 Notice of Occupational Disease and Claim for Compensation

Form CA-2 Notice of Occupational Disease and Claim for Compensation

What Is Form CA-2?

This is a legal form that was released by the U.S. Department of Labor - Office of Workers' Compensation Programs on October 1, 2018 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-2?A: Form CA-2 is a Notice of Occupational Disease and Claim for Compensation.

Q: Who uses Form CA-2?A: Form CA-2 is used by federal employees to report an occupational disease and file a claim for compensation.

Q: What is the purpose of Form CA-2?A: The purpose of Form CA-2 is to notify the appropriate authorities about an occupational disease and request compensation.

Q: What information is required on Form CA-2?A: Form CA-2 requires personal and employment information, details about the occupational disease, and medical evidence.

Q: How do I submit Form CA-2?A: Form CA-2 should be submitted to the appropriate federal agency, along with any supporting documentation.

Q: What happens after submitting Form CA-2?A: After submitting Form CA-2, the federal agency will review the claim and determine eligibility for compensation.

Q: Is there a deadline to submit Form CA-2?A: Yes, there is a deadline to submit Form CA-2. It must be filed within three years of the date of diagnosis of the occupational disease, or within three years of the date you became aware or reasonably should have been aware of the relationship between the disease and your employment.

Q: Can I get assistance with filling out Form CA-2?A: Yes, you can seek assistance from your employing agency or the Office of Workers' Compensation Programs (OWCP) in filling out Form CA-2.

Q: Is there a fee to file Form CA-2?A: No, there is no fee to file Form CA-2.

Q: What benefits can I receive if my Form CA-2 claim is approved?A: If your Form CA-2 claim is approved, you may be eligible for medical treatment, disability compensation, and vocational rehabilitation.

ADVERTISEMENT

Form Details:

  • Released on October 1, 2018;
  • 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-2 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-2 Notice of Occupational Disease and Claim for Compensation

4.5 of 5 (26 votes)
  • Form CA-2 Notice of Occupational Disease and Claim for Compensation

    1

  • Form CA-2 Notice of Occupational Disease and Claim for Compensation, Page 2

    2

  • Form CA-2 Notice of Occupational Disease and Claim for Compensation, Page 3

    3

  • Form CA-2 Notice of Occupational Disease and Claim for Compensation, Page 4

    4

  • Form CA-2 Notice of Occupational Disease and Claim for Compensation, Page 5

    5

  • Form CA-2 Notice of Occupational Disease and Claim for Compensation, Page 1
  • Form CA-2 Notice of Occupational Disease and Claim for Compensation, Page 2
  • Form CA-2 Notice of Occupational Disease and Claim for Compensation, Page 3
  • Form CA-2 Notice of Occupational Disease and Claim for Compensation, Page 4
  • Form CA-2 Notice of Occupational Disease and Claim for Compensation, Page 5
Prev 1 2 3 4 5 Next
ADVERTISEMENT

Related Documents