Form CM-972 Application for Approval of a Representative's Fee in a
Application for Approval of a Representative's Fee in Black Lung Claim Proceedings Conducted by the U.S. Department of Labor
cm-972
Application for Approval of a Representative's Fee in Black Lung Claim Proceedings Conducted by the U.S. Department of Labor
OMB: 1240-0011
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1240-0011 can be found here:
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| File Type | application/pdf |
| File Modified | 2007-09-13 |
| File Created | 2007-09-13 |