DOL Form CA-2231

View OWCP-DFEC's Form CA-2231 Online htm
Agency: 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: 1240-0018