Authorization for Payment of Autopsy

National Coal Workers' Health Surveillance Program (CWHSP)

OMB: 0920-0020

IC ID: 197448

Documents and Forms

Document Name Document Type
Form CWHSP 2.19, Dec 20 Authorization for Payment of Autopsy Form
CWHSP 2.19, Dec 2020 Authorization for Payment of Autopsy Attachment 22 Auth for Pay of Autopsy Form No. CDC NIOSH (M) 2.19.pdf Form
0920-24IK Authorizaion for Payment of Autopsy Attachment 22_Authorizaion for Payment of Autopsy Form (2.19).pdf Form
Attachment 21 42 CFR 37.203 Path Report of Autopsy - Sample.docx Pathologist Report of Autopsy -- Sample IC Document
Attachment 20 .docx Autopsy Invoice Sample IC Document
Attachment 20_NCWAS Autopsy Sample Invoice_42 CFR 37.202.docx NCWAS Autopsy Sample Invoice IC Document
Attachment 21_NCWAS Path Report of Autopsy_42 CFR 37.203.docx NCWAS Path Report of Autopsy IC Document