Agency:

OWCP-DCMWC

Title:

OWCP-1168, Black Lung Provider Enrollment Form

Form Description:

OWCP-1168, Black Lung Provider Enrollment Form: The information collected on this form will be used to ensure accurate medical provider information for payment of medical and vocational rehabilitation bills.

OMB Control Number:

1215-0137

• elaws — Employment Law Advisors

• DOL Newsletter

• Business.gov
• Career Voyages
• Disability.gov
• Disaster Recovery Assistance
• GovBenefits.gov
• HireVetsFirst.dol.gov
• MyMoney.gov
• No Fear Act — Equal Employment Opportunity Data Posted Pursuant to the No Fear Act
• PandemicFlu.gov
• Regulations.gov
• USA Freedom Corps
• USA.gov
• The White House
• Wirtz Labor Library