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E-mail This PageDOL Form CM-988
| Agency: | OWCP-DCMWC |
| Title: | CM-988, Medical History and Examination for Coal Mine Workers' Pneumoconiosis |
| Form Description: | CM-988, Medical History and Examination for Coal Mine Workers' Pneumoconiosis: After a coal miner applies for black lung benefits, a complete pulmonary evaluation is authorized in order to determine if the claimant is totally disabled by pneumoconiosis. The CM-988 is completed by the physician authorized to perform the physical examination for DCMWC. |
| OMB Control Number: | 1240-0023 |
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