DOL Form CM-933

View OWCP-DCMWC's Form CM-933 Online htm

Agency:

OWCP-DCMWC

Title:

CM-933, Roentgenographic Interpretation

Form Description:

CM-933, Roentgenographic Interpretation: The CM-933 form is used by the examining physician or radiologist to record the results of the diagnostic x-ray. The X-ray is a required diagnostic test used to determine if a claimant has pneumoconiosis.

OMB Control Number:

1215-0090