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DOL Form CM-913

View OWCP-DCMWC's Form CM-913 Online 

Agency:	OWCP-DCMWC
Title:	CM-913, Description Of Coal Mine Work and Other Employment
Form Description:	CM-913, Description Of Coal Mine Work and Other Employment: The CM-913 form is completed by the applicant when the miner performed non-coal mine work in addition to his coal mine employment. The form is used to compare coal mine with non-coal mine work.
OMB Control Number:	1240-0035

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