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Form OWCP-04 Uniform Billing Form
Uniform Billing Form
1240-0019 OWCP-04-updated 2025
Uniform Billing Form (OWCP-04)
OMB: 1240-0019
OMB.report
DOL/OWCP
OMB 1240-0019
ICR 202501-1240-003
IC 38466
Form OWCP-04 Uniform Billing Form
( )
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