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Medical Travel Refund Request U.S.

    https://www.dol.gov/sites/dolgov/files/owcp/dfec/regs/compliance/owcp-957.pdf

    Forms | U.S. Department of Labor - DOL

      https://www.dol.gov/agencies/owcp/FECA/regs/compliance/forms
      OWCP-16* Rehabilitation Plan And Award. OWCP-17* Rehabilitation Maintenance Certificate. OWCP-20* Overpayment Recovery Questionnaire. OWCP-44* Rehabilitation …

    Information for Injured Workers and their Representatives

      https://www.dol.gov/agencies/owcp/FECA/regs/compliance/infoinjuredwrkers
      Complete the OWCP-957 "Medical Travel Refund Request" form to request reimbursement for your transportation/mileage expenses. This form is available on the …

    Claimant Reimbursement Forms - DOL

      https://owcpmed.dol.gov/portal/tutorials/Claimant_Reimbursement_Forms.pdf
      Claimant Medical/Pharmacy Reimbursement (OWCP 915) or Medical Travel Refund Request (OWCP 957) 4. OWCP 915 Medical Reimbursement. 6 Instructions for use of …

    Online Forms | U.S. Department of Labor - DOL

      https://www.dol.gov/agencies/owcp/energy/regs/compliance/claim_forms
      Physician/Provider Billing Form: OWCP-1500. Reimbursement for out-of-pocket medical expenses: OWCP-915. Uniform Billing Form for Medical Services: OWCP-04. Medical …

    Form OWCP-957 Medical Travel Refund Request

      https://www.templateroller.com/group/23323/form-owcp-957-medical-travel-refund-request.html
      Download Fillable Form Owcp-957 In Pdf - The Latest Version Applicable For 2023. Fill Out The Medical Travel Refund Request Online And Print It Out For Free. …

    Medical Travel Refund Request - OMB 1240-0037

      https://omb.report/omb/1240-0037
      Requesting address change to OWCP-957 form. This form is used to request reimbursement for out-of-pocket expenses incurred when traveling to medical providers …

    General | Office of Workers' Compensation Programs - DOL

      http://owcpmed.dol.gov/portal/resources/forms-and-references/general
      Providers will experience much faster processing times with electronic submissions and our online notification of any bill errors further reduce processing time. If you need assistance …

    Contact An OWCP Office

      http://www.owcp.com/contact-an-owcp-office/
      OWCP-957-Medical Travel Refund Request. OWCP-1500-Health Insurance Claim Form. UB-92-Uniform Health Insurance Claim Form. USEFUL LINKS & INFORMATION. Here …

    Get Medical Travel Refund Request: OWCP-957 - US …

      https://www.uslegalforms.com/form-library/308088-medical-travel-refund-request-owcp-957-us-department-of-labor-dol
      Take advantage of the quick search and innovative cloud editor to create a precise Medical Travel Refund Request: OWCP-957 - US Department Of Labor - Dol. Clear away the …



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