Ca2 form 2025

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The document is a Notice of Occupational Disease and Claim for Compensation form issued by the U.S. Department of Labor's Office of Workers' Compensation Programs. It requires employees to provide personal information, details about their occupational disease or illness, and the relationship to their employment. Supervisors must complete specific sections and provide additional documentation regarding the employee's work conditions and medical care. The form outlines the benefits available under the Federal Employees' Compensation Act (FECA) for employees suffering from work-related diseases, including medical care, wage loss compensation, and vocational rehabilitation.

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What is a Ca2 form used for?

The CA-2 Notice of Occupational Disease form should be used if you have sustained an occupational disease injury on the job. An Occupational Disease is a condition produced in the work environment over a period longer than one work day or shift.

What is a Ca2 form?

Percentage of impairment: Determines the duration of benefits. Weekly benefits range: From $160 to $290 depending on your impairment percentage. Additional benefits: Includes a $6,000 voucher for job displacement if retraining is needed.

What is the difference between a CA-1 and a CA-2?

Follow instruction to complete the employee section of the Form CA-1 or CA-2 and provide it to your supervisor as soon as possible, but not later than 30 days after your injury. Complete these forms as precisely as possible in order to avoid delays caused by asking you for additional information.

How do I file a ca2?

After signing into ECOMP with your email address and password, your Employee Dashboard will be displayed, which lists all forms you have filed in ECOMP. Information about filing a claim on form CA-1 or CA-2 will be displayed. Click File a CA-1 or CA- 2 to proceed.

What is the difference between a ca1 and a ca2?

Form CA-1 is used for a traumatic injury (a medical condition resulting from an incident or activity occurring during one work shift). Form CA-2 is for an occupational disease (a medical condition resulting from an incident or activity occurring over more than one work shift).