Agency:

OWCP-DCMWC

Title:

CM-913, Description Of Coal Mine Work and Other Employment

Form Description:

CM-913, Description Of Coal Mine Work and Other Employment: The CM-913 form is completed by the applicant when the miner performed non-coal mine work in addition to his coal mine employment. The form is used to compare coal mine with non-coal mine work.

OMB Control Number:

1215-0056

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