This area allows users to filter and find official Department of Labor forms across a range of programs and services. It helps workers, employers, and the public quickly access the materials they need to request benefits, meet requirements, or submit information.
Results
61 - 80 of 167 results| Form name | Agencies | Form files | Details |
|---|---|---|---|
| OWCP CM-623: Representative Payee Report | AgencyOWCP | ||
| OWCP CM-623s: Representative Payee Report | AgencyOWCP | ||
| OWCP CM-787: Physician's/Medical Officer's Statement | AgencyOWCP | ||
| OWCP CM-893: Certificate of Medical Necessity | AgencyOWCP | ||
| OWCP CM-908: Notice of Termination, Suspension, Reduction, or Increase In Benefit Payments | AgencyOWCP | ||
| OWCP CM-910: Request To Be Selected As Payee | AgencyOWCP | ||
| OWCP CM-911: Miner’s Claim for Benefits Under The Black Lung Benefits Act | AgencyOWCP | ||
| OWCP CM-911a: Employment History | AgencyOWCP | ||
| OWCP CM-912: Survivor's Form For Benefits Under The Black Lung Benefits Act | AgencyOWCP | ||
| OWCP CM-913: Description Of Coal Mine Work and Other Employment | AgencyOWCP | ||
| OWCP CM-921: Instructions For Completion of Form CM-921 | AgencyOWCP | ||
| OWCP CM-929: Report of Changes That May Affect Your Black Lung Benefits | AgencyOWCP | ||
| OWCP CM-929P: Report of Changes That May Affect Your Black Lung Benefits | AgencyOWCP | ||
| OWCP CM-933: Roentgenographic Interpretation | AgencyOWCP | ||
| OWCP CM-933b: Radiologic Quality Rereading | AgencyOWCP | ||
| OWCP CM-936: Authorization For Release of Medical Information (Black Lung Benefits) | AgencyOALJ | ||
| OWCP CM-972: Application for Approval of a Representative's Fee In a Black Lung Claim Proceeding | AgencyOWCP | ||
| OWCP CM-981: Certification by School Official | AgencyOWCP | ||
| OWCP CM-988: Medical History and Examination for Coal Mine Workers’ Pneumoconiosis | AgencyOWCP | ||
| OWCP EE-1: Worker’s Claim for Benefits Under the Energy Employees Occupational Illness Compensation Program Act | AgencyOWCP |