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(CA2)POLITICAL ACTION COMMITTEEOR LEGISLATIVE CAUCUS COMMITTEE STATEMENT OF ORGANIZATION State Form 28251(R11/1218) Indiana Election Division (IC 3:913 and IC 3914)PLEASE TYPE OR PRINT LEGIBLY IN
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CA-2 is a form used for reporting injury or illness claims within the workers' compensation system.
Individuals who have experienced a work-related injury or illness are required to file CA-2.
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The purpose of CA-2 is to document and claim benefits for work-related injuries or illnesses.
Information such as employee's personal details, description of the incident, type of injury, and medical treatment must be reported on CA-2.
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