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Form OWCP-915 Claim for Medical Reimbursement
Claim for Medical Reimbursement Form
1240-0007 Claim for Medical Reimbursement (OWCP-915) 2024
Claim for Medical Reimbursement Form
OMB: 1240-0007
OMB.report
DOL/OWCP
OMB 1240-0007
ICR 202404-1240-007
IC 38473
Form OWCP-915 Claim for Medical Reimbursement
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1240-0007 can be found here:
2026-01-08 - No material or nonsubstantive change to a currently approved collection
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