Ca 2 form owcp 2026

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The document is a Notice of Occupational Disease and Claim for Compensation form from the U.S. Department of Labor's Office of Workers' Compensation Programs. It outlines the process for employees to report occupational diseases or illnesses, including required personal information, details about the disease, and the relationship to employment. The form also includes sections for supervisors to provide additional information and certify the accuracy of claims. It explains benefits under the Federal Employees' Compensation Act (FECA), including medical care, wage loss compensation, and vocational rehabilitation services. Additionally, it emphasizes compliance with privacy regulations regarding personal information.

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Click ‘Get Form’ to open the CA-2 form in the editor.
Begin by filling out your personal information in sections 1 through 6, including your name, date of birth, and social security number. Ensure accuracy as this data is crucial for processing your claim.
In section 9, provide details about your occupation and the location where you worked when the illness occurred. This helps establish a connection between your employment and the disease.
Sections 12 to 14 require you to explain when you first realized the illness was work-related and describe its nature. Be thorough in detailing how your job contributed to your condition.
Complete sections 15 to 17 if applicable, explaining any delays in filing or submitting required medical reports. Transparency here can expedite your claim process.
Finally, sign and date section 18 to certify that all information provided is true. This step is essential for validating your claim.

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