Department of Labor

Forms
IRS Form 5500 Schedule B
Health Insurance Summary of Benefits and Coverage
Schedule A Insurance Information Form 5500
Form 5330 Instructions
Instructions for Form 5500
Schedule A Form 5500
Work Capacity Evaluation Form
Schedule C Form 5500 Service Provider Information
US DOL Black Lung Claim Representative Fee Application
Schedule MB Instructions
Registered Lobbyist Contact Disclosure Form
US Federal Employment Discrimination Complaint Form
Survivor’s Claim for Benefits Under the Energy Employees Occupational Illness Compensation Program
Notice of Controversion of Right
Black Lung Benefits Claim Form
Pre-Hearing Statement Form LS-18
ACH Vendor Payment System Form
Schedule B Actuarial Information Form 5500
Schedule H Form 5500
Schedule B (Form 5500) Actuarial Information
IRS Form 5498
Schedule E (Form 5500) ESOP Annual Information
Schedule E (Form 5500) ESOP Annual Information
Schedule H Form 5500
Wage Statement Form WH-501