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

DOL Form CM-2970a

View ESA-OWCP-DCMWC's Form 1215-0058 Online htm
Title: CM-2970a, Operator Response to Notice of Claim
Form Description: CM-2970a, Operator Response to Notice of Claim: The CM-2970a is sent with the Notice of Claim when a coal mine operator is identified as potentially liable for payment of benefits. This form gives the operator an opportunity to accept or contest statements about its liability.
OMB Control Number: 1215-0058
OMB Expiration Date: Friday, December 31, 2010

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