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DOL Home > Find It! By Form > DOL Form |
DOL Form CM-2970a
Agency: | OWCP-DCMWC |
Title: | CM-2970a, Operator Response to Notice of Claim |
Form Description: | CM-2970a, Operator Response to Notice of Claim: The CM-2970a is sent with the Notice of Claim when a coal mine operator is identified as potentially liable for payment of benefits. This form gives the operator an opportunity to accept or contest statements about its liability. |
OMB Control Number: | 1240-0033 |