Office of Workers' Compensation Programs

U.S.

Official Website: https://www.dol.gov/agencies/owcp

Forms & Documents

Browse all Office of Workers' Compensation Programs government forms

21 - 31 of 31 forms

Form Title Topics
Report of Changes That May Affect Your Black Lung Benefits
Report of Changes That May Affect Your Black Lung Benefits
Report of Claims Information for Self-Insured Operators
Report of Ventilatory Study
Representative Payee Report
Representative Payee Report
Request To Be Selected As Payee
Roentgenographic Interpretation
Roentgenographic Quality Rereading
Survivor's Form For Benefits Under The Black Lung Benefits Act
Uniform Billing Form

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