WebJun 13, 2024 · MEDICAL TRAVEL REFUND REQUEST FORM . 1240-0037 (OWCP-957) This Information Collection Request extends the currently approved ICR. A. Justification. Explain the circumstances that make the collection of information necessary. Identify any legal or administrative requirements that necessitate the collections. Attach a copy of the … WebThe Dept. of Labor will also reimburse for medical transport services. Include your case/claim number on all submitted pages. All travel reimbursement requests must be submitted within 1 year of the expense. …
OWCP Official Forms For Federal Workers’ …
WebGet the Medical Travel Refund Request U.S. Department Of Labor - Lehighvalleyapwu you require. Open it with cloud-based editor and start adjusting. Fill the empty fields; engaged parties names, addresses and phone numbers etc. ... OWCP-957 - US Department of Labor. Office of Workers' Compensation Programs. Medical Travel Refund Request. OMB No... WebOWCP may require an original signature on the report. ( b) The report shall be submitted directly to OWCP as soon as possible after medical examination or treatment is received, either by the employee or the physician. (See also § 10.210 .) The employer may request a copy of the report from OWCP. ram wireless router
OWCP-957 Medical Travel Refund Request - United States …
WebOWCP-957 - US Department of Labor DOL USE ONLY ... provided by the OWCP, or who knowingly accepts reimbursement to which... Learn more 20 CFR § 10.315 - Will OWCP pay for... (d) The standard form designated for medical travel refund requests is Form OWCP-957 and... Learn more CA810 Revised 2009 CA 801 810 - UserManual.wiki Web( h) If an employee seeks reimbursement for transportation costs, loss of wages or incidental expenses related to medical treatment under this part, that employee may submit such reimbursement request on the Medical Travel Refund Request OWCP-957 form to OWCP along with all proof of payment. WebThis form is only available to registered medical providers by logging into the OWCP Web Bill Portal. To submit the form, providers must click on the 'Provider' Link to the right of the … overseas rate crossword clue