Agreement and Undertaking

OMB 1240-0039

OMB 1240-0039

The OWCP-1 is a form completed by employers to provide the Secretary of Labor with authorization to sell securities or to bring suit under indemnity bonds deposited by the self-insured employers in the event there is a default in the payment of benefits.

The latest form for Agreement and Undertaking expires 2021-04-30 and can be found here.

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