DOL Form CM-2970a

View OWCP-DCMWC's Form CM-2970a Online htm

Agency:

OWCP-DCMWC

Title:

CM-2970a, Operator Response to Notice of Claim

Form Description:

CM-2970a, Operator Response to Notice of Claim: The CM-2970a is sent with the Notice of Claim when a coal mine operator is identified as potentially liable for payment of benefits. This form gives the operator an opportunity to accept or contest statements about its liability.

OMB Control Number:

1215-0058