Agency:

OWCP-DCMWC

Title:

CM-623, Representative Payee Report

Form Description:

CM-623, Representative Payee Report: Benefits may be paid to a representative payee on behalf of the entitled individual when the beneficiary is unable to manage his or her benefits. The CM-623 is used to collect information from the payee to assure that the beneficiary's needs are met.

OMB Control Number:

1215-0173

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