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| This form is used to request profile information on providers tht enroll in one (or more) of OWCP's benefit programs to its billing contractor can pay them for services rendered to beneficiaries using its automated bill processing system. |
Form #:
OWCP 1168
Agency:
Department of Labor
Bureau:
Employment Standards Administration
Common Name:
OWCP-1168
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TYPE |
PAGES |
SIZE (KB) |
CAPABILITY |
WHAT'S
NEEDED |
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Form Only
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12
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[3] Fillable + Printable
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