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E-mail This PageDOL Form CM-972
| Agency: | OWCP-DCMWC |
| Title: | CM-972, Application for Approval of a Representative's Fee in a Black Lung Claim Proceeding Conducted by The of Labor |
| Form Description: | CM-972, Application for Approval of a Representative's Fee in a Black Lung Claim Proceeding Conducted by The U.S. Department of Labor: The CM-972 is used by a claimant’s representative to request a fee for legal services performed in connection with a claim for black lung benefits. |
| OMB Control Number: | 1240-0011 |
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