fyllyoLabor Forms
Form CA-2a
Notice of Recurrence
Fyllyo uses local AI to interpret your documents, calculate required answers and fill PDF forms. Review the answers and their sources before saving, without uploading client documents.
A simpler way to prepare a PDF.
Pick a form
Choose a built-in template or set up your own blank fillable PDF once.
Add client documents
Drop in PDFs, scans, photos, Word files or typed notes. The AI reads them on your computer.
Review and save
Check the source lines, confirm key facts and edit the PDF. Uncertain values stay blank and flagged.
Form reference
Before you begin.
Use these notes as a starting point. Check the issuing agency’s current form and instructions for your client’s situation.
Open the source PDFFyllyo helps prepare PDFs. It doesn’t provide legal or tax advice, determine eligibility, or file forms for you.
Gather Required Information
Before you begin filling out Form CA-2a, Notice of Recurrence, ensure you have the original injury details, including the date, affected body parts, and the treating physician's information. Also, gather details about the recurrence, such as the date and description, to provide a comprehensive account of the incident.
Details worth checking
Accurate Name Entry
Incorrect or incomplete entry of your full name, including the Last, First, and Middle Initial, can lead to identity verification issues. This mistake can cause processing delays or even a denial of your claim.
Social Security Number Accuracy
An incorrect Social Security Number (SSN) can cause significant delays or denial of your claim. The SSN must be formatted correctly as XXX-XX-XXXX, with no non-numeric characters.
OWCP File Number Verification
Incorrect or missing OWCP file numbers can unlink your recurrence from your original claim, leading to processing issues. This number is essential for claim continuity.
Correct Date of Birth Format
Providing your Date of Birth in an incorrect format can result in processing errors. It must be in Month/Day/Year format and plausible for your age.
Proper Sex Selection
Failing to properly select your sex (Male/Female) can lead to demographic inaccuracies, affecting statistical and processing purposes.
Complete Home Address
An incorrect or incomplete home address can lead to communication delays or claim denial. Your current mailing address must be accurate.
Dependents Information
Failure to accurately indicate dependents can delay or deny dependent benefits. It is crucial to provide complete information.
Set up your own form once.
Fyllyo’s cloud service prepares a reusable template from your blank fillable PDF and setup instructions. No API key is required. Client documents stay on your computer, and subsequent filling runs locally. Check the first few filled forms carefully.
Mac with M1 or later · 16 GB memory recommended · About 8 GB free disk space