Dol form ca2a 2026

1. Click ‘Get Form’ to open the dol form ca2a in the editor.
2. Begin with Part A, where you will enter your personal information. Fill in your name, date of birth, and Social Security Number accurately.
3. Continue by providing details about your original injury, including the OWCP file number and the date of the recurrence. Ensure all dates are formatted correctly.
4. In section 10, if your employing agency has changed since the original injury, provide the new agency's name and address.
5. Complete sections regarding medical treatment and any limitations experienced after returning to work. Be thorough in describing your condition and how it relates to your original injury.
6. If applicable, fill out Part C if you are no longer employed with the Federal Government. Provide details about previous employment and any training received since the original injury.
7. Finally, review all entries for accuracy before signing and dating the form at the end of Part A or C as required.

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