Subscribe to E-mail Updates	Advanced Search
A to Z Index |  Site Map |  FAQs |  DOL Forms |  About DOL |  Contact Us

DOL Home > Find It! By Form > Forms By Agency

Forms By Agency

	On This Page
Employee Benefits Security Administration (formerly PWBA) Employment and Training Administration Mine Health and Safety Administration Occupational Safety and Health Administration Office of Federal Contract Compliance Programs Office of Labor-Management Standards Office of Workers' Compensation Programs Office of Workers' Compensation Programs - Energy Employees Occupational Illness Compensation Program Office of Workers' Compensation Programs DCMWC Office of Workers' Compensation Programs DFEC Office of Workers' Compensation Programs DLHWC Veterans Employment and Training Service Wage and Hour Division

Employee Benefits Security Administration (formerly PWBA) (EBSA) Application for EFAST Electronic Signature and Codes for EFAST Transmitters and Signature Developers Annual Return/Report of Employee Benefit Plan Employment and Training Administration (ETA) Application for Alien Employment Certification (Part A) Application for Alien Employment Certification (Part B) H-1B Specialty (Professional) Workers H-1C Nurses for Disadvantaged Areas Labor Condition Application and Requirements for Employer Using Nonimmigrants on H-1B Visas Mine Health and Safety Administration (MSHA) Mine Accident, Injury and Illness Report Quarterly Mine Employment and Coal Production Report Legal Identification (ID) Report Mine Identification (ID) Request Contractor Identification (ID) Request MSHA Notification of Representative of Miners Record of Individual Exposure to Radon Daughters Certificate of Electrical/Noise Training Certification of Physical Qualification for Mine Rescue Work Certificate of Training Health Activity Certification or Hoisting Engineers Qualification Request Form Electrically Operated Mining Equipment Field Approval Application (Coal Operator) Occupational Safety and Health Administration (OSHA) Notice of Alleged Safety or Health Hazards Office of Federal Contract Compliance Programs (OFCCP) Complaint of Discrimination in Employment Under Federal Government Contracts Office of Labor-Management Standards (OLMS) Trust Annual Report Form LM-2 Labor Organization Annual Report Form LM-3 Labor Organization Annual Report Form LM-4 Labor Organization Annual Report Form LM-1 Labor Organization Information Report Form LM-10 Employer Report Form LM-15 Trusteeship Report Form LM-15A Report on Selection of Delegates and Officers Form LM-16 Terminal Trusteehip Report Form LM-20 Agreement and Activities Report (Consultant) Form LM-21 Receipts and Disbursements Report (Consultant) Form LM-30 Labor Organization Officer and Employee Report Form S-1 Surety Company Annual Report Office of Workers' Compensation Programs (OWCP) OWCP-1, Agreement and Undertaking DLHWC (Longshore) & DCMWC (Black Lung) Designation of a Recipient of the Federal Employees' Compensation Act Death Gratuity Payment under Section 1105 of Public Law 110-181 (Section 8102a) Claim for Survivor Benefits Under the Federal Employees’ Compensation Act Section 8102a Death Gratuity Official Notice of Employees’ Death for Purposes of FECA Section 8102a Death Gratuity Carrier's Report of Issuance of Policy OWCP-5a, Work Capacity Evaluation For Psychiatric/Psychological Conditions OWCP-5b, Work Capacity Evaluation For Cardiovascular/Pulmonary Conditions OWCP-5c, Work Capacity Evaluation for Musculoskeletal Conditions OWCP-16, Rehabilitation Plan And Award OWCP-17, Rehabilitation Maintenance Certificate OWCP-44, Rehabilitation Action Report OWCP-957, Medical Travel Refund Request OWCP-1500, Health Insurance Claim Form Uniform Billing Form OWCP-915, Claim for Medical Reimbursement OWCP-20, Overpayment Recovery Questionnaire Office of Workers' Compensation Programs - Energy Employees Occupational Illness Compensation Program (OWCP-EEOICP) EEOICP EE-1, Claim for Benefits under Energy Employees Occupational Illness Compensation Program Act EEOICP EE-2, Claim for Survivor Benefits under Energy Employees Occupational Illness Compensation Program Act EEOICP EE-3, Employment History for Claim Under Energy Employees Occupational Illness Compensation Program Act EEOICP EE-4, Employment History Affidavit for Claim Under Energy Employees Occupational Illness Compensation Program Act EEOICP EE-7, Medical Requirements under the Energy Employees Occupational Illness Compensation Program Act Office of Workers' Compensation Programs DCMWC (OWCP-DCMWC) OWCP-1168, Black Lung Provider Enrollment Form CM-929p, Report of Changes That May Affect Your Black Lung Benefits CM-623, Representative Payee Report CM-623S, Representative Payee Report CM-787, Physician's/Medical Officer's Statement CM-893, Certificate of Medical Necessity CM-908, Notice of Termination, Suspension, Reduction or Increase in Benefit Payments CM-910, Request To Be Selected As Payee CM-911, Miner's Claim For Benefits Under The Black Lung Benefits Act CM-911a, Employment History CM-912, Survivor's Form For Benefits Under The Black Lung Benefits Act CM-913, Description Of Coal Mine Work and Other Employment CM-921, Instructions For Completion of Form CM-921 CM-929, Report of Changes That May Affect Your Black Lung Benefits CM-933, Roentgenographic Interpretation CM-933b, Roentgenographic Quality Rereading CM-936, Authorization For Release Of Medical Information (Black Lung Benefits) CM-972, Application for Approval of a Representative's Fee in a Black Lung Claim Proceeding Conducted by The of Labor CM-981, Certification by School Official CM-988, Medical History and Examination for Coal Mine Workers' Pneumoconiosis CM-1159, Report of Arterial Blood Gas Study CM-2907, Report of Ventilatory Study CM-2970, Operator Response to Schedule for Submission of Additional Evidence CM-2970a, Operator Response to Notice of Claim Office of Workers' Compensation Programs DFEC (OWCP-DFEC) DFEC CA-1, Federal Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation DFEC CA-2, Notice of Occupational Disease and Claim for Compensation DFEC CA-2a, Notice of Recurrence DFEC CA-5, Claim for Compensation by Widow, Widower, and/or Children DFEC CA-5b, Claim for Compensation by Parents, Brothers, Sisters, Grandparents, or Grandchildren DFEC CA-6, Official Supervisor's Report of Employee's Death DFEC CA-7, Claim for Compensation DFEC CA-7a, Time Analysis Form DFEC CA-7b, Leave Buy Back (LBB) Worksheet/Certification and Election DFEC CA-10, What A Federal Employee Should Do When Injured At Work DFEC CA-12, Claim For Continuance of Compensation Under the Federal Employees' Compensation Act DFEC CA-17, Duty Status Report DFEC CA-20, Attending Physician's Report DFEC CA-35, Evidence Required in Support of a Claim for Occupational Disease DFEC CA-278, Claim for Reimbursement of Benefit Payments and Claims Expense Under the War Hazards Compensation Act DFEC CA-721, Notice of Law Enforcement Officer's Injury Or Occupational Disease DFEC CA-722, Notice of Law Enforcement Officer's Death DFEC CA-1031, Letter to Dependants to Verify Claimant Support DFEC CA-1074, Letter to Parents in Death Claim Development DFEC CA-1108, Statement of Recovery Letter with Long Form DFEC CA-1122, Statement of Recovery Letter with Short Form DFEC CA-2231, Claim for Reimbursement Assisted Reemployment Office of Workers' Compensation Programs DLHWC (OWCP-DLHWC) DLHWC (Longshore) LS-276, Application for Security Deposit Determination DLHWC (Longshore) LS-275ic, Agreement and Undertaking(Insurance Carrier) DLHWC (Longshore) LS-275si, Agreement and Undertaking (Self-Insured Employer) DLHWC (Longshore) LS-33, Approval of Compromise of Third Person Cause of Action DLHWC (Longshore) LS-426, Request for Earnings Information DLHWC (Longshore) LS-202, Employer's First Report of Injury or Occupational Illness DLHWC (Longshore) LS-205, Physician's Report on Impairment of Vision DLHWC (Longshore) LS-206, Payment of Compensation Without Award DLHWC (Longshore) LS-207, Notice of Controversion of Right to Compensation DLHWC (Longshore) LS-18, Pre-Hearing Statement DLHWC (Longshore) LS-208, Notice of Final Payment or Suspension of Compensation Payments DLHWC (Longshore) LS-210, Employer's Supplementary Report of Accident or Occupational Illness DLHWC (Longshore) LS-265, Certification of Funeral Expenses DLHWC (Longshore) LS-266, Application for Continuation of Death Benefit for Student DLHWC (Longshore) LS-267, Claimant's Statement DLHWC (Longshore) LS-271, Application for Self-Insurance DLHWC (Longshore) LS-274, Report of Injury Experience of Insurance Carrier or of Self-Insured Employer DLHWC (Longshore) LS-204, Attending Physician's Supplementary Report DLHWC (Longshore) LS-262, Claim for Death Benefits DLHWC (Longshore) LS-203, Employee's Claim for Compensation DLHWC (Longshore) LS-201, Notice of Employee's Injury or Death DLHWC (Longshore) LS-200, Report of Earnings DLHWC (Longshore) LS-1, Request for Examination and/or Treatment Veterans Employment and Training Service (VETS) Federal Contractor Veterans' Employment Report Eligibility Data Form: Uniformed Services Employment and Reemployment Rights Act and Veterans' Preference Wage and Hour Division (WHD) Application for Authority to Employ Workers with Disabilities at Special Minimum Wages Supplemental Data Sheet for Application for Authority to Employ Workers with Disabilities at Special Minimum Wages Certification of Health Care Provider for Employee’s Serious Health Condition Certification of Health Care Provider for Family Member’s Serious Health Condition Certification of Qualifying Exigency For Military Family Leave Certification for Serious Injury or Illness of Covered Servicemember -- for Military Family Leave FMLA Designation Notice Family and Medical Leave Act of 1993 (Employer Response to Employee Request for Family or Medical Leave) H-1B Nonimmigrant Information Form Optional Use Payroll Form Under the Davis-Bacon Act Wage Statement Wage Statement (In Spanish) Worker Information, Terms and Conditions of Employment Worker Information, Terms and Conditions of Employment (In Spanish)

Compliance Assistance elaws — Employment Law Advisors About DOL Laws and Regulations Budget & Performance Information American Recovery and Reinvestment Act Information Newsroom DOL Newsletter Events Calendar Doing Business With DOL Freedom of Information Act (FOIA) Other Resources Business.gov Career Voyages Disability.gov Disaster Recovery Assistance GovBenefits.gov HireVetsFirst.gov MyMoney.gov No Fear Act — Equal Employment Opportunity Data Posted Pursuant to the No Fear Act PandemicFlu.gov Regulations.gov USA Freedom Corps USA.gov The White House Wirtz Labor Library

Frequently Asked Questions |  Freedom of Information Act |  Privacy & Security Statement |  Disclaimers |  Customer Survey |  Important Web Site Notices

U.S. Department of Labor | Francis Perkins Building, 200 Constitution Ave., NW, Washington, DC 20210
www.dol.gov | Telephone: 1-866-4-USA-DOL (1-866-487-2365) | TTY: 1-877-4-889-5627 | Contact Us