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OWCP-04 Uniform Billing Form

Uniform Billing Form

1240-0019 OWCP-04-updated 2025

OMB: 1240-0019

OMB.report
DOL/OWCP
OMB 1240-0019
ICR 202501-1240-003
IC 38466
OWCP-04 Uniform Billing Form
( )

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