Want to add more choices? | PAY BY• - Report of Changes That May Affect Your Black Lung Benefits• IC06 Appearance of Representative rev |
---|---|
Form Number - LS-570; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation• - Description Of Coal Mine Work and Other Employment• Form Number - WH-385V; Agency - Wage and Hour Division• Click Add Question to add a new question to the form | In an unmanaged solution, you can edit the managed properties for an unmanaged custom entity that was created for the solution |
- Request To Be Selected As Payee• Select the form, and then select Delete on the command bar.
Then delete the form you tried earlier | Government Agencies and Elected Officials• Form Number - LM-21; Agency - Office of Labor-Management Standards• Form Name - Attorney Fee Approval Request; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation• Form Number - CM-911; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation• - Application for Self-Insurance instructions• Form Name - Work Capacity Evaluation for Musculoskeletal Conditions; Agency - Office of Workers' Compensation Programs• - LHWCA Prehearing Statement Form• Copy, modify as necessary, and paste these paragraphs, as appropriate, into the Order section of the decision forms |
---|---|
Form Number - WH-501; Agency - Wage and Hour Division• - Contractor ID Request• Make sure your version of a form matches ours | Or designate another existing form as the fallback form |
Form Number - CM-910; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation• Mailing Addresses Settlement Contracts Send settlement contracts to the | Note: Your form is saved automatically while you create it |
---|---|
Ports Form ETA 9033• Form Name - Certification of Funeral Expenses; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation• Form Name - Settlement Judge Request; Agency - Office of Administrative Law Judges• Form Number - CM-1159; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation• Form Number - CM-929P; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation• Form Number - CM-787; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation• Accident Reports• Form Name - Report of Changes That May Affect Your Black Lung Benefits; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation• - Report of Injury Experience of Insurance Carrier or Self-Insured Employer• Form Name - Application to write Longshore Insurance Carriers ; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation• Create a new main form for the entity | The OPM Forms Management Program web site serves as the single source of information for forms belonging to and used by the Office of Personnel Management |
Form Name - Employment History; Agency - Office of Workers' Compensation Programs - Division of Coal Mine Workers' Compensation• - MSPA Application for a Farm Labor Contractor or Farm Labor ContractorEmployee Certificate of Registration• - Notice of Employee's Injury or Death• - Statement of Recovery Letter with Long Form• Form Name - Stipulation Approval Request; Agency - Office of Workers' Compensation Programs - Division of Longshore and Harbor Workers' Compensation• Form Number - 5000-41; Agency - Mine Safety and Health Administration• government endorsement of the entity, its views, the products or services it provides, or the accuracy of information contained therein.
17