View ESA-OWCP-DCMWC's Form 1215-0173 Online
Agency: |
ESA-OWCP-DCMWC |
Title: |
CM-623, Representative Payee Report |
Form Description: |
CM-623, Representative Payee Report: Benefits may be paid to a representative payee on behalf of the entitled individual when the beneficiary is unable to manage his or her benefits. The CM-623 is used to collect information from the payee to assure that the beneficiary's needs are met. |
OMB Control Number: |
1215-0173 |
OMB Expiration Date: |
Friday, October 31, 2008
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