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May 8, 2009   
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DOL Form CM-2970a

View ESA-OWCP-DCMWC's Form CM-2970a Online htm
Agency: ESA-OWCP-DCMWC
Title: CM-2970a, Operator Response to Notice of Claim
Form Description: CM-2970a, Operator Response to Notice of Claim: The CM-2970a is sent with the Notice of Claim when a coal mine operator is identified as potentially liable for payment of benefits. This form gives the operator an opportunity to accept or contest statements about its liability.
OMB Control Number: 1215-0058

 

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