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EE-32 (Home Health Care Authorization Request)
Division of Energy Employees Occupational Illnesses Compensation (DEEOIC) Authorization Request Forms
OMB: 1240-0060
IC ID: 243779
OMB.report
DOL/OWCP
OMB 1240-0060
ICR 202404-1240-008
IC 243779
( )
Documents and Forms
Document Name
Document Type
Form EE-32
EE-32 (Home Health Care Authorization Request)
Form and Instruction
EE-32 Home Health Care Authorization Request
EE-32 Home Health Care Authorization Request.pdf
owcpmed.dol.gov/
Form and Instruction
Information Collection (IC) Details
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