Form Owcp-957. A payee other than the claimant must have special authorization. Easily fill out pdf blank, edit, and sign them.
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Easily fill out pdf blank, edit, and sign them. Doing so will unnecessarily delay the processing of your reimbursement claim. Last name, first name, middle initial. Last name, first name, middle initial. Uniform billing form for medical services: Save or instantly send your ready documents. A payee other than the claimant must have special authorization. Luckily, eeoicpa “white card” holders can get reimbursed for any mileage related to medical travel. Easily fill out pdf blank, edit, and sign them. Web complete owcp form 957 printable online with us legal forms.
Save or instantly send your ready documents. Save or instantly send your ready documents. Last name, first name, middle initial. Web the federal employees' compensation act mandates that owcp furnish an injured worker with services, appliances, and supplies prescribed by a qualified physician which owcp deems likely to cure, give relief, reduce the degree or the period of disability, or aid in lessening the amount of monthly compensation. Last name, first name, middle initial. Enter payee's full name (if person other than the claimant is to be reimbursed): Doing so will unnecessarily delay the processing of your reimbursement claim. Enter claimant's claim/case file number. Save or instantly send your ready documents. Luckily, eeoicpa “white card” holders can get reimbursed for any mileage related to medical travel. Web medical travel refund request.
