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Application for Approval of a Representative's Fee In a Black Lung Claim Proceeding

Form ID:

OWCP CM-972

Control ID:

OMB No. 1240-0011

Expiration date:

Sat, 31 Oct 2026 - 23:59

Forms

OWCP CM-972: Application for Approval of a Representative's Fee In a Black Lung Claim Proceeding