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November 4, 2008
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DOL Form LS-513
View ESA-OWCP's Form 1215-0160 Online
Agency:
ESA-OWCP
Title:
Report of Payments
Form Description:
The regulations and forms cover the submission of information relating to the processing of claims and benefits under the Longshore Act and extensions.
OMB Control Number:
1215-0160
OMB Expiration Date:
Sunday, November 30, 2003
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