View ESA-OWCP-DFEC's Form 1215-0202 Online
Agency: |
ESA-OWCP-DFEC |
Title: |
DFEC CA-278, Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act |
Form Description: |
DFEC CA-278, Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act: This form is used to claim reimbursement of benefit payments and claims expense under the War Hazards Compensation Act. |
OMB Control Number: |
1215-0202 |
OMB Expiration Date: |
Tuesday, August 31, 2010
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