- Form CA-1032 is issued to all claimants on the periodic roll on an annual basis. This information is used to decide whether the claimant is entitled to continue receiving compensation benefits, or whether his/her benefits should be adjusted.
- The claimant must completely answer all questions and return the statement within 30 days of the date of the letter or the claimant's benefits may be suspended in accordance with 20 CFR 10.528. Form CA-1032 covers the 15 months prior to the date the claimant signs the form.
- The claimant is provided a warning that a false or evasive answer to any question or the omission of an answer may be grounds for forfeiting his or her compensation benefits and be subject to civil liability. A fraudulent answer may result in criminal prosecution. All statements provided by the claimant on Form CA-1032 form are subject to investigation for verification.