OMB control number

Claim for Reimbursement-Assisted Reemployment

OMB 1240-0018 · DOL/OWCP.

OMB 1240-0018

To aid in the employment of Federal employees with disabilities related to an on-the-job injury, employers submit OWCP 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 2029-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form CA-2231 Claim for Reimbursement Assisted Reemployment Form
Form CA-2231 Claim for Reimbursement-Assisted Reemployment Form
1240-0018 Claim for Reimbursement - Assisted Reemployment (CA-2231)_Supporting Statement 1 5 2026.docx Supporting Statement A
1240-0018 Claim for Reimbursement - Assisted Reemployment (CA-2231)_Supporting Statement_Clean.docx Supporting Statement A
Pub Law -117-103.pdf Supplementary Document
Pub Law -117-103.pdf Supplementary Document
5 U.S.C. 8111.docx Supplementary Document
DOL GOVT-1.docx Supplementary Document
5 U.S.C. 8104a vocational rehabilitation.docx Supplementary Document
OPM Salary Table. RUS.pdf Supplementary Document
BLS hourly wage for payroll and timekeeping clerks.pdf Supplementary Document
Claim for Reimbursement-Assisted Reemployment Form
Claim for Reimbursement-Assisted Reemployment Form

All Historical Document Collections

202507-1240-002	Extension without change of a currently approved collection	2025-09-26
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