Form CA-2, Notice of Occupational Disease and Claim for 2025

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The document is a Notice of Recurrence form from the U.S. Department of Labor's Office of Workers' Compensation Programs, designed for employees who have experienced a recurrence of a work-related injury or condition. It includes sections for employees to provide personal information, details about the original injury and recurrence, and medical treatment claims. The form also outlines instructions for both employees and employing agencies regarding the completion and submission process, as well as definitions related to recurrences of medical conditions and disabilities.

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Versions	Form popularity	Fillable & printable
2024	4.7 Satisfied (31 Votes)
2017	4.9 Satisfied (23 Votes)
2010	4 Satisfied (54 Votes)
1996	4 Satisfied (60 Votes)

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How long do I have to file a CA-2?

Occupational diseaseAn employee, or someone act- ing on the employees behalf, is required to file a written claim of occupational disease within three years. OWCP Form CA-2 should be used for this purpose.

What is an example of a work-related disease?

Many types of disease, including cancer, respiratory disorders, cardiovascular disease, skin diseases, musculoskeletal disorders and mental health problems, can be caused or made worse by work.

What is the difference between occupational disease and work-related disease?

Not all work-related diseases are occupational diseases A work-related disease is one the cause of which can be linked to the afflicted individuals work. Work-related diseases therefore include not just occupational diseases but also diseases the primary cause of which is not a factor present in the sufferers work.

What are 5 occupational diseases?

Workers in healthcare, laboratories, and animal handling jobs are at a higher risk of occupational infectious diseases, including diseases such as hepatitis B and hepatitis C, tuberculosis, human immunodeficiency virus, and COVID-19. These diseases can range from mild to severe and may even be fatal.

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

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).

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What is a CA-2 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 the most common occupational disease related to workplace exposure?

Common Occupational Disorders: Asthma, COPD, Dermatitis, and Musculoskeletal Disorders.