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Get Dol Owcp-1168 2004

L Free: 1-866-272-2682 If you have any questions regarding the completion of the form, please call; 1-202-693-0925 Privacy Act Statement (1) Collection of this information is authorized by the Federal Employees’ Compensation Act (20 CFR 10.801), the Black Lung Benefits Act (20 CFR 725.704 and 725.705), the Energy Employees Occupational Illness Compensation Program Act of 2000 (20 CFR 30.701), and the Longshore and Harbor Workers’ Compensation Act (20 CFR 702.503). (2) The information colle.

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