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U.S. Department of LaborRequest To Be Selected As Payee ResetOffice of Workers\' Compensation Programs Division of Coal Mine Workers\' CompensationPrintI hereby request that the Black Lung benefits
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If you are requesting something, it means that you are asking for or seeking a specific item or information.
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The information that must be reported on a request typically includes the reason for the request, specific details of what is being requested, and any supporting documentation.
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