Medical Travel Refund Request

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 1240-0037 can be found here:

Documents and Forms

Document Name Document Type
Form OWCP-957 Medical Travel Refund Request Form and Instruction
OWCP-957 Medical Travel Refund Request - Mileage Form 957 Part A - Mileage - Proposed.docx Form and Instruction
OWCP 957 Medical Travel Refund Request - Expenses Form 957 Part B - Expenses - Proposed.docx Form and Instruction

Information Collection (IC) Details