Requesting address change to OWCP-957 form. This form is used to request reimbursement for out-of-pocket expenses incurred when traveling to medical providers for covered medical testing or treatment.
The latest form for Medical Travel Refund Request expires 2021-06-30 and can be found here.
Document Name |
---|
Form and Instruction |
Justification for No Material/Nonsubstantive Change |
Supporting Statement A |
Justification for No Material/Nonsubstantive Change |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Supplementary Document |
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2022-06-10 | |
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2022-03-04 | |
Approved without change |
Extension without change of a currently approved collection | 2021-05-03 | |
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2020-10-22 | |
Approved without change |
No material or nonsubstantive change to a currently approved collection | 2020-02-21 | |
Approved without change |
Revision of a currently approved collection | 2018-05-31 | |
Approved without change |
Extension without change of a currently approved collection | 2016-12-28 | |
Approved without change |
Extension without change of a currently approved collection | 2013-10-24 | |
Approved without change |
Revision of a currently approved collection | 2010-08-09 | |
Approved without change |
Extension without change of a currently approved collection | 2010-03-12 |