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EMPLOYEE\'S REPORT OF INJURY, EXPOSURE, or MEDICAL CONDITION COMPLETE AND RETURN WITHIN 24HOURS TO:PLEASE USE ADDITIONAL PAPER FOR ANSWERS, IF NEEDED 1. Name:2. Social Security (last 4 number\'s):3.
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How to fill out form ca-2 - us

01
Obtain a copy of form CA-2 - US from the appropriate source (e.g. employer, government website)
02
Read and understand the instructions provided with the form
03
Fill out the personal information section, including name, address, contact information, etc.
04
Provide details about the injury or illness that occurred and how it relates to your job
05
Include information about your medical provider and any treatment received for the injury or illness
06
Sign and date the form before submitting it to the relevant party

Who needs form ca-2 - us?

01
Employees who have experienced a work-related injury or illness that may be covered under the Federal Employees' Compensation Act (FECA)

What is CA-2 - U.S. Department of Labor Form?

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Form CA-2 - US is the form used for claiming compensation for traumatic injuries under the Federal Employees' Compensation Act (FECA) for federal employees.
Federal employees who have suffered traumatic injuries while performing their job duties are required to file Form CA-2 - US.
Form CA-2 - US can be filled out by providing personal information, details of the injury, medical treatment received, and a description of how the injury occurred.
The purpose of Form CA-2 - US is to allow federal employees to claim compensation for traumatic injuries they have suffered in the course of their employment.
Information such as personal details, injury description, medical treatment received, and details of how the injury occurred must be reported on Form CA-2 - US.
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