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Click ‘Get Form’ to open the trec ice ca2 form in the editor.
Begin by entering the Course Application Fees. Calculate the total due by adding the base fee of $50.00 to any additional fees for content review, classroom delivery, or distance education as applicable.
Fill in the Provider Name and Provider License Number along with your contact phone number and email address.
Enter the Course Title, ensuring it does not exceed 64 characters. Provide a brief statement describing the course objective relevant to inspector license activities.
Select the Delivery Method from options such as Classroom, Distance Education, Online, or Combination. If applicable, include instructions for TREC staff regarding online delivery access.
For Classroom Delivery, specify the number of days and hours per day that classes will meet.
For Distance Education, explain student identification verification processes and methods ensuring students complete required hours. Attach a copy of the exam question bank if necessary.
Finally, confirm your authority to submit this application by signing and dating at the bottom of the form.

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Who fills out the CA2 form?

The employee should carefully follow the instructions attached to Forms CA-1 and CA-2. Form CA-1 should be filed within 30 days of the injury, and Form CA-2 should be filed within 30 days of the date the employee realized the disease or illness was caused or aggravated by the employment.

What is a Ca2 form?

At the time the form is received, complete the Receipt of Notice of Disease or Illness and give it to the employee. In addition to completing items 19 through 34, the supervisor is responsible for filling in the proper codes in shaded boxes a, b, and c on the front of the form.

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