Dol Govt-1
81 Fed. Reg 47418 (July 21, 2016).pdf
Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act
DOL GOVT-1
OMB: 1240-0006
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1240-0006 can be found here: