DOL Form CM-623

View OWCP-DCMWC's Form CM-623 Online htm
Agency: OWCP-DCMWC
Title: CM-623, Representative Payee Report
Form Description: CM-623, Representative Payee Report: Benefits may be paid to a representative payee on behalf of the entitled individual when the beneficiary is unable to manage his or her benefits. The CM-623 is used to collect information from the payee to assure that the beneficiary's needs are met.
OMB Control Number: 1240-0020