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
Form Attorney Fee Application
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⚠️ Notice: This form may be outdated.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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pdf| File Type | application/vnd.openxmlformats-officedocument.wordprocessingml.document |
| File Title | Attorney Fee Application |
| Author | Marcela Meneses |
| File Modified | 0000-00-00 |
| File Created | 2023-09-08 |