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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