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Office of the Assistant Secretary for Policy

DOL Form CA-2a

View OWCP-DFEC's Form CA-2a Online htm
Title: DFEC CA-2a, Notice of Recurrence
Form Description: DFEC CA-2a, Notice of Recurrence: This form is used by a federal employee to provide notice of a recurrence of a traumatic injury or occupational disease, and to claim continuation of pay or compensation. The form must be filed with one's employing agency.
OMB Control Number: 1240-0009