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Attending Physician's Report U.S. Department of Labor

www.afge.org

Compensation Act, as amended and extended (5 U.S.C. 8101, et seq.) (FECA) is administered by the Office of Workers' Compensation Programs of the U.S. Department of Labor, which receives and maintains personal information on claimants and their immediate families.

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Evidence Required in Support of a Claim U.S. Department …

www.dol.gov

Office of Workers' Compensation Programs Evidence Required in Support of A Claim for Asbestos-Related Illness If you are filing a claim based on exposure to asbestos. Use this checklist to identify the information needed from you and your em-ploying agency. All of the following information should be submitted with Form CA-2.

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Claim for Compensation U.S. Department of Labor - DOL

www.dol.gov

Office of Workers' Compensation Programs. Claim for Compensation. SECTION 1. EMPLOYEE PORTION. Middle. OMB No. 1240-0046 Expires: 05/31/2024 a. Name of Employee. Last First . b. Mailing Address ( Including City State, ZIP Code) c. OWCP File Number. d. Date of Injury e. Social Security Number. Month Day Year E-Mail Address (Optional ...

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Claim for Medical Reimbursement U.S Department of Labor ...

www.dol.gov

suggestions for reducing this burden, send them to the Office of WorkersCompensation Programs, U.S. Department of Labor, Room S3524, 200 Constitution Avenue, N.W., Washington, D.C. 20210. Do not submit the completed claim form to this address. Persons are

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Injury Compensation for Federal Employees

www.dol.gov

Injury Compensation for Federal Employees Publication CA-810 U.S. Department of Labor Hilda L. Solis, Secretary CA-810 Revised 2009 This material was prepared by the Office of WorkersCompensation

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Rights & Responsibilities for Employees &

www.laworks.net

Rights & Responsibilities for Employees & Employers: | 1 Page RIGHTS AND RESPONSIBILITIES FOR EMPLOYEES AND EMPLOYERS - This Office of Workers’ Compensation Administration’s Rights and Responsibilities brochure is sent

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Workers’ Global Underwriters, Inc. Compensation

www.defensebaseact.com

U.S. Department of Labor Employment Standards Administration Office of WorkersCompensation Programs Division of Longshore and Harbor WorkersCompensation Washington, D.C. 20210

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Office of Workers' Compensation Programs (OWCP)

owcpmed.dol.gov

U.S. Department of Labor Central Mailroom – Provider Enrollments PO Box 8312 London, KY 40742-8312 Identifier Value : Identifier Type : Provider Enrollment Supporting Documents Cover Sheet Office of Workers' Compensation Programs (OWCP) …

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