Statement of Recovery Forms

OMB 1240-0001

OMB 1240-0001

These forms are used to obtain information about amounts received as the result of final judgments in litigation, or a settlement of the litigation, brought against a third party who is liable for damages due to a Federal employee comprehensive work-related injury.

The latest form for Statement of Recovery Forms expires 2022-02-28 and can be found here.

OMB Details

Statement of Recovery Forms

Federal Enterprise Architecture: Workforce Management - Labor Rights Management

Form CA-1108Statement of Recovery www.dol.gov/owcp/dfec/regs/compliance/forms.htmForm and instruction

Review document collections for all forms, instructions, and supporting documents - including paper/printable forms.


© 2022 OMB.report | Privacy Policy