Miner's Claim For Benefits Under The Black Lung Benefits Act CM-911 and Employment History CM-911a

Justification CM-911 & CM-911a Translated in Spanish.docx

Miner's Claim for Benefits Under the Black Lung Benefits Act CM-911 and Employment History CM-911a

Miner's Claim For Benefits Under The Black Lung Benefits Act CM-911 and Employment History CM-911a

OMB: 1240-0038