Certification by School Official

OMB 1240-0031

OMB 1240-0031

OWCP is requesting an address change to the Certification of School Official (CM-981) form. The CM-981 is completed by a school official to verify whether a Black Lung beneficiary's dependent, aged 18 to 23, qualifies as a full-time student.

The latest form for Certification by School Official expires 2023-07-31 and can be found here.

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