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May 8, 2009   
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DOL Form CM-2907

View ESA-OWCP-DCMWC's Form CM-2907 Online htm
Agency: ESA-OWCP-DCMWC
Title: CM-2907, Report of Ventilatory Study
Form Description: CM-2907, Report of Ventilatory Study: After a coal miner applies for black lung benefits, a complete pulmonary evaluation is authorized in order to determine if the claimant is totally disabled by pneumoconiosis. The ventilatory exam (or pulmonary functions study) is one part of the evaluation. The CM-2907 is completed by the physician.
OMB Control Number: 1215-0090

 

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