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U.S. Department of Labor Medical Travel Refund Request Reset Print Office of Workers Compensation Programs OMB No. 1240-0037 NOTE This report is authorized by the Federal Employees Compensation Act 5 USC 8103 a the Black Lung Benefits Act 30 USC 901 20 CFR 725. 406 and 725. 701 and the Energy Employees Occupational Illness Compensation Program Act of 2000 42 USC 7384 and 20 CFR 30. 701. While you are not required to respond this information is required to obtain reimbursement for travel...

How to fill out owcp 1240 0037

How to fill out DoL OWCP-957

1. Obtain a blank DoL OWCP-957 form from the Department of Labor website or your local OWCP office.
2. Fill out your personal information, including your name, address, and Social Security number at the top of the form.
3. Provide details about your employment, including the name of your employer and your job title.
4. Describe the injury or illness in detail, including the date it occurred and how it happened.
5. List any medical treatments you have received related to the injury or illness.
6. Include any information about witnesses who were present when the incident occurred.
7. Review the completed form for accuracy and completeness.
8. Sign and date the form before submitting it as instructed.

Who needs DoL OWCP-957?

1. Workers who have sustained a workplace injury or illness and wish to file a claim for compensation under the Division of Labor's Office of Workers' Compensation Programs (OWCP) need to fill out the DoL OWCP-957 form.

People Also Ask about

What is the mileage rate for Owcp?

Effective March 19, 2008, the General Services Administration increased the mileage reimbursement rates for Federal employees traveling on official duty to 50.5 cents per mile.

What type of workers are covered by the program of the Owcp?

This coverage is for all civilian employees of the United States. Contract employees, volunteers, and loaned employees are covered under some circumstances. The FECA is administered by the Department of Labor's Office of Workers' Compensation Programs (OWCP).

What is form 957?

About Publication 957, Reporting Back Pay and Special Wage Payments to the Social Security Administration.

What is Owcp medical?

About OWCP The Office of Workers' Compensation Programs administers four major disability compensation programs which provide wage replacement benefits, medical treatment, vocational rehabilitation and other benefits to certain workers or their dependents who experience work-related injury or occupational disease.

Can you receive OWCP and SSDI at the same time?

You can receive and be approved for OWCP Federal Workers' Compensation and Social Security Disability at the same time. However, there will be an offset between these two benefits. You can only receive up to 80% of your pay from both benefits combined.

What does Owcp regular mean?

Office of Workers' Compensation Programs.

What is Form 957?

About Publication 957, Reporting Back Pay and Special Wage Payments to the Social Security Administration.

Does time on OWCP count towards retirement?

Q: Does the time on OWCP Federal Workers' Compensation count towards my creditable years of service at retirement? A: Yes! Your time on OWCP will count as creditable years of service towards your retirement.

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What is DoL OWCP-957?

DoL OWCP-957 is a form used by the U.S. Department of Labor's Office of Workers' Compensation Programs (OWCP) to collect information on claims for wage loss or compensation for employees who are injured or become ill as a result of their job.

Who is required to file DoL OWCP-957?

Employees who have sustained a work-related injury or illness and are seeking compensation or wage loss benefits under the Federal Employees' Compensation Act (FECA) are required to file DoL OWCP-957.

How to fill out DoL OWCP-957?

To fill out DoL OWCP-957, the claimant should provide detailed information regarding their employment, the nature of the injury or illness, medical treatment, and any time lost from work. It is important to follow the instructions provided on the form accurately to ensure proper processing.

What is the purpose of DoL OWCP-957?

The purpose of DoL OWCP-957 is to document the details of a claimant's injury or illness and to assess the amount of wage loss or medical expenses that compensation may cover under the OWCP program.

What information must be reported on DoL OWCP-957?

On DoL OWCP-957, the claimant must report information such as personal identification details, employment information, descriptions of the injury or illness, dates of medical treatment, and any time off work due to the injury or illness.