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September 23, 2008    DOL Home > Find It! By Form > DOL Form   

DOL Form CM-2907

View ESA-OWCP-DCMWC's Form 1215-0090 Online htm
Title: CM-2907, Report of Ventilatory Study
Form Description: CM-2907, Report of Ventilatory Study: After a coal miner applies for black lung benefits, a complete pulmonary evaluation is authorized in order to determine if the claimant is totally disabled by pneumoconiosis. The ventilatory exam (or pulmonary functions study) is one part of the evaluation. The CM-2907 is completed by the physician.
OMB Control Number: 1215-0090
OMB Expiration Date: Wednesday, August 31, 2011

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