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:

1215-0178