Office of Workers' Compensation Programs (OWCP)

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Division of Federal Employees' Compensation (DFEC)

DFEC Philadelphia District Office — District 3

Compensation Specialist Workshop Registration Form

The Compensation Specialist Workshop is a three-day training session designed for agency HR personnel involved in the processing of FECA compensation claims. Workshops are held at the Philadelphia District Office on a quarterly basis. Please select the preferred session from the choices provided and complete the contact information below. Exact dates of the session and confirmation of your reservation will be provided as soon as possible.

Dates of Session Requested: 1st Quarter FY'06 2nd Quarter FY'06 3rd Quarter FY'06 4th Quarter FY'06

Number of Persons Attending:

Name(s) of Person(s) Attending:

Name: Agency:

Agency Address:

Telephone: Fax:

E-Mail Address:

Print and Fax Completed Form to (215) 861-5463