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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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