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OWCP-957 2017-2025 free printable template

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U.S. Department of LaborMedical Travel Refund Request ResetPrintOffice of Workers\' Compensation ProgramsNOTE: This report is authorized by the Federal Employees\' Compensation Act (5 USC 8103(a)),
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How to fill out OWCP-957

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How to fill out OWCP-957

01
Obtain the OWCP-957 form from the official OWCP website or your employer.
02
Enter your personal information, including your name, address, and contact details in the designated fields.
03
Provide details about your injury or illness, including the date and place of the incident.
04
Describe the nature of your medical treatment and any healthcare providers you have seen.
05
If applicable, include information about any prior claims or related cases.
06
Review the completed form for any errors or omissions before submission.
07
Submit the form to the appropriate OWCP office, either by mail or electronically, as specified.

Who needs OWCP-957?

01
Workers who have sustained a work-related injury or illness and are seeking compensation or medical treatment through the OWCP.
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OWCP-957 is a form used by the Office of Workers' Compensation Programs (OWCP) to report information about a worker's employment and any claims related to workplace injuries or illnesses.
Employers and claimants who are involved in filing a claim for workers' compensation benefits under the Federal Employees' Compensation Act (FECA) are required to file OWCP-957.
To fill out OWCP-957, you need to provide accurate information regarding the injured employee, including personal details, details of the injury, and any other required documentation as specified on the form.
The purpose of OWCP-957 is to collect necessary information to process claims for workers' compensation benefits and to ensure all relevant data is available for review by the OWCP.
The information that must be reported on OWCP-957 includes the employee's personal information, details of the injury, the employment status, and any other relevant facts related to the claim.
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