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Agreement and Undertaking
This form is a joint use form (Longhsore and Black Lung Programs) used by a federal employee to provide notice of traumatic injury and to claim continuation of pay (compensation). The must be filed with one's employing agency.
Form #:  OWCP 1
Agency:  Department of Labor
Bureau:  Employment Standards Administration
Common Name:   OWCP-1
  TYPE PAGES SIZE (KB) CAPABILITY WHAT'S
NEEDED
pdf Form Only 2   [3] Fillable + Printable Adobe Reader Download  

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