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Owcp 957 2017

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The method of collecting information complies with the Freedom of Information Act, the Privacy Act of 1974 and OMB Circ. 130. This form should be used for medically related travel covered by the Federal Employees' Compensation Act, the Black Lung Benefits Act and the Energy Employees Occupational Illness Compensation Program Act of 2000. OMB No. 1240-0037 Expires: 06/30/2021 2. Case/Claim Number: 1. Claimant's Name (Last, First, Mi.): 3. Payee's Name if different from claimant's name...

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What is the OWCP Form 957?

The OWCP Form 957, also known as the Medical Travel Refund Request Form, is a document used by employees who are eligible for benefits under the Federal Employees' Compensation Act (FECA). This form allows claimants to request reimbursement for travel expenses incurred while seeking medical treatment related to work-related injuries or illnesses. It is essential for ensuring that employees receive the financial support they need for necessary medical travel, which can include mileage, lodging, and other related costs.

How to Use the OWCP Form 957

Using the OWCP Form 957 involves several straightforward steps. First, claimants must fill out the form with accurate information, including personal details, the nature of the medical treatment, and travel expenses. It is crucial to keep all receipts and documentation related to the travel, as these will be required for reimbursement. Once completed, the form should be submitted to the appropriate OWCP office for processing. Claimants can track the status of their request through the OWCP system.

Steps to Complete the OWCP Form 957

Completing the OWCP Form 957 requires careful attention to detail. Here are the steps to follow:

  • Gather all necessary documentation, including receipts for travel expenses.
  • Fill out the form with your personal information, including your name, address, and claim number.
  • Detail the medical treatment received, including dates and locations.
  • List all travel expenses incurred, ensuring to include mileage, lodging, and meals if applicable.
  • Review the completed form for accuracy before submission.
  • Submit the form to the designated OWCP office, either online or by mail.

Legal Use of the OWCP Form 957

The OWCP Form 957 is legally recognized under the Federal Employees' Compensation Act. For the form to be valid, it must be filled out completely and accurately, with all required documentation attached. Compliance with the guidelines set forth by the OWCP ensures that the reimbursement process is smooth and that claimants receive their entitled benefits without unnecessary delays. Understanding the legal implications of the form can help prevent issues that may arise during the reimbursement process.

Required Documents for the OWCP Form 957

When submitting the OWCP Form 957, it is essential to include several supporting documents to ensure a successful reimbursement request. Required documents typically include:

  • Receipts for all travel-related expenses.
  • A copy of the medical treatment documentation.
  • Any prior correspondence with the OWCP regarding the claim.
  • A copy of the claim number associated with the work-related injury or illness.

Form Submission Methods

The OWCP Form 957 can be submitted through various methods, providing flexibility for claimants. Options include:

  • Online submission through the OWCP's electronic filing system.
  • Mailing the completed form and supporting documents to the appropriate OWCP office.
  • In-person submission at designated OWCP locations, if available.

Quick guide on how to complete note this report is authorized by the federal employees compensation act 5 usc 8103a the black lung benefits act 30 usc 901

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Related links to Owcp 957
OWCP-957A - Medical Travel Refund Request – Mileage

This is a mileage only reimbursement form. If you need other travel expenses reimbursed, complete Form OWCP-957. Part B Medical Travel Refund Request - Expenses ...Read more

957 Form - Printable Study Planner

957 Form - Write your name and owcp claim number on. Web this form should be used for medically related travel covered by the federal employees' compensation ...

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