Form CDC/NIOSH 2.9(E), CDC/NIOSH 2.9(E), Miner Identification Document

National Coal Workers' Health Surveillance Program (CWHSP)

Attachment 8 Miner Identification Doc Form No. CDC NIOSH (M) 2.9

Miner Identification Document (CDC/NIOSH 2.9)

OMB: 0920-0020