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Form CA-2

  • The front portion of Form CA-2 should be completed by the IW.  However, if the IW is incapacitated, this form may be completed by authorized EA official (Agency Reviewer (AR) in ECOMP).
  • The IW must indicate when he/she first became aware of the condition (# 11) and also when he/she first realized that it was causally related to his/her employment (#12).
  • The back of Form CA-2 also asks when the IW was last exposed to the condition(s) which allegedly caused the condition (#29).  This is important because this date, along with the two dates above, may be used to determine if the claim was timely filed.