Claim for Reimbursement-Assisted Reemployment

OMB 1240-0018

To aid in the employment of Federal employees with disabilities related to an on-the-job injury, employers submit Form CA-2231 to claim reimbursement for wages paid under the assisted reemployment project. This information allows for a prompt decision on payment.

The latest form for Claim for Reimbursement-Assisted Reemployment expires 2022-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form CA-2231 Claim for Reimbursement-Assisted Reemployment Form
PLAW-117publ103.pdf Supplementary Document
5 usc 8111.docx Supplementary Document
DOL GOVT-1.docx Supplementary Document
8104 vocational rehabilitation (2).docx Supplementary Document
opm salary table 2022.pdf Supplementary Document
Occupational Employment and Wages 2021 for Payroll and Timekeeping Clerks.docx Supplementary Document
1240-0018 Supporting Statement final.docx Supporting Statement A
Claim for Reimbursement-Assisted Reemployment Form

All Historical Document Collections

202209-1240-001 Approved without change	Extension without change of a currently approved collection	2022-10-13
201904-1240-001 Approved without change	Extension without change of a currently approved collection	2019-09-25
201602-1240-007 Approved without change	Revision of a currently approved collection	2016-07-21
201301-1240-001 Approved without change	Revision of a currently approved collection	2013-06-04
201005-1240-001 Approved without change	Revision of a currently approved collection	2010-05-28
201003-1240-018 Approved without change	Extension without change of a currently approved collection	2007-03-28