View ESA-OWCP-DFEC's Form 1215-0178 Online
Agency: |
ESA-OWCP-DFEC |
Title: |
DFEC CA-2231, Claim for Reimbursement Assisted Reemployment |
Form Description: |
DFEC CA-2231, Claim for Reimbursement Assisted Reemployment, This form is used by private employers to claim partial salary reimbursement for reemployment of an injured Federal employee. One must have a signed Cooperative Agreement with OWCP in order to claim such reimbursement. |
OMB Control Number: |
1215-0178 |
OMB Expiration Date: |
Wednesday, June 30, 2010
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