Results
81 - 100 of 167 results| Form name | Agencies | Form files | Details |
|---|---|---|---|
| OWCP EE-2: Survivor's Claim for Benefits Under the Energy Employees Occupational Illness Compensation Program Act | OWCP | ||
| OWCP EE-3: Employment History for a Claim Under the Energy Employees Occupational Illness Compensation Program Act | OWCP | ||
| OWCP EE-4: Employment History Affidavit for a Claim Under the Energy Employees Occupational Illness Compensation Program Act | OWCP | ||
| OWCP LS-1: Request for Examination and/or Treatment | OWCP | ||
| OWCP LS-18: Pre-Hearing Statement | OWCP | ||
| OWCP LS-200: Report of Earnings | OWCP | ||
| OWCP LS-201: Notice of Employee's Injury or Death | OWCP | ||
| OWCP LS-202: Employer's First Report of Injury or Occupational Illness | OWCP | ||
| OWCP LS-203: Employee's Claim for Compensation | OWCP | ||
| OWCP LS-204: Attending Physician's Supplementary Report | OWCP | ||
| OWCP LS-207: Notice of Controversion of Right to Compensation | OWCP | ||
| OWCP LS-208: Notice of Payments | OWCP | ||
| OWCP LS-210: Employer's Supplementary Report of Accident or Occupational Illness | OWCP | ||
| OWCP LS-262: Claim for Death Benefits | OWCP | ||
| OWCP LS-265: Certification of Funeral Expenses | OWCP | ||
| OWCP LS-266: Application for Continuation of Death Benefit for Student | OWCP | ||
| OWCP LS-267: Claimant's Statement | OWCP | ||
| OWCP LS-271: Application for Self- Insurance | OWCP | ||
| OWCP LS-272: Application to write Longshore Insurance | OWCP | ||
| OWCP LS-274: Report of Injury Experience of Insurance Carrier or Self-Insured Employer | OWCP |