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CA-2231 – Employer Claim for Reimbursement (Assisted Reemployment) Fillable PDF

  1. Language English
  2. Country USA
  3. Department Department of Labor
  4. Agency Office of Workers' Compensation Programs
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CA-2231 – Employer Claim for Reimbursement (Assisted Reemployment) Fillable PDF

The CA-2231 is the official Employer Claim for Reimbursement – Assisted Reemployment (AR) Program form used by the U.S. Department of Labor. Employers who have incurred costs related to reemployment services can request reimbursement by completing this form.

What Is the CA-2231 Form?

Form CA-2231 collects detailed information about the employer, the employee(s) involved, the nature of the reemployment services provided, and the associated expenses. The form is required under the Occupational Safety and Health Administration (OSHA) Workers’ Compensation Programs (OWCP) guidelines.

How to Complete the CA-2231 Online

Instead of downloading, printing, and editing a static PDF, you can fill out the form directly in your browser using Formize’s secure PDF Filler app. Follow the simple steps below.

Common Mistakes to Avoid

  • Leaving required fields blank – the filler will highlight missing data.
  • Entering totals that don’t match line‑item amounts – double‑check calculations.
  • Using an outdated version of the form – this page always provides the latest CA-2231 (June 2004).

Where to Submit the Completed Form

After you finish, download the completed PDF and mail it to the address listed on the last page of the form, or submit electronically if your agency permits electronic filing.

FAQ – Quick Answers

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FAQ
  • Is the CA‑2231 form still current?

    Yes. The version hosted here (June 2004) is the most recent edition approved by the Department of Labor for the Assisted Reemployment program.

  • Do I need a PDF editor to fill out CA‑2231?

    No. Use the built‑in Formize PDF Filler on this page – it works in any modern browser without additional software.

  • Can I save my progress and return later?

    Yes. Click the “Save Draft” button in the filler to download a partially completed PDF, then reopen it later with Formize to continue.

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  • How do I know the form is complete?

    After filling, click the “Validate” button. The filler will highlight any missing required fields or calculation errors.

  • Where should I mail the completed CA‑2231?

    The mailing address appears on page 6 of the form. It is the designated OWCP processing center for Assisted Reemployment claims.

  • Is there a fee to use the Formize filler?

    No. Formize provides free, secure filling of government PDFs like CA‑2231.

HOW TO

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    Validate and Save
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    Submit the Form
    Mail the saved PDF to the address on the last page of the form or follow any electronic submission instructions provided by your agency.
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ABOUT

Department of Labor (DOL) Forms

CA-2231 is one of the official forms that are used by the United States Department of Labor and its various agencies to collect information, administer programs, and enforce labor-related laws and regulations. The Department of Labor is a federal executive department responsible for promoting and protecting the welfare of workers, ensuring fair employment practices, and overseeing various aspects of labor and employment in the United States.

Here are some examples of Department of Labor forms:

Employment Eligibility Verification (Form I-9): While administered by the U.S. Citizenship and Immigration Services (USCIS), Form I-9 is often associated with the Department of Labor. It is used by employers to verify the identity and employment eligibility of individuals hired for employment in the United States.

Family and Medical Leave Act (FMLA) Forms: The DOL's Wage and Hour Division administers the FMLA, and various forms are used to implement and comply with the provisions of this federal law, including the Certification of Health Care Provider form and the FMLA Notice of Eligibility and Rights & Responsibilities form.

Occupational Safety and Health Administration (OSHA) Forms: OSHA, a division of the DOL, requires certain employers to maintain records of workplace injuries and illnesses using forms such as OSHA Form 300, OSHA Form 300A, and OSHA Form 301.

Unemployment Insurance Forms: The DOL's Employment and Training Administration oversees the Unemployment Insurance (UI) program, and various forms are used by state workforce agencies to administer and process UI benefits claims.

Wage and Hour Compliance Forms: The DOL's Wage and Hour Division enforces various labor laws, including the Fair Labor Standards Act (FLSA) and the Family and Medical Leave Act (FMLA). Employers may be required to use specific forms to maintain compliance with these laws, such as records of hours worked, wage rates, and other related information.

These examples represent some common categories of Department of Labor forms, but there are many other forms used by the DOL and its various agencies to carry out their responsibilities related to labor and employment. The specific forms required may vary depending on the program, regulation, or enforcement action involved. It's advisable to visit the official website of the U.S. Department of Labor (www.dol.gov) or consult with the relevant DOL agencies or legal professionals to obtain accurate and up-to-date information regarding the specific DOL forms relevant to your labor-related needs or compliance requirements.

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