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May 8, 2009   
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DOL Form CA-2231

View ESA-OWCP-DFEC's Form CA-2231 Online htm
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

 

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