Uniform Billing Form (OWCP-04)

Uniform Billing Form

OMB: 1240-0019

IC ID: 38466

Documents and Forms

Document Name Document Type
Form OWCP-04 Uniform Billing Form (OWCP-04) Form and Instruction
OWCP-04 Uniform Billing Form 1240-0019 OWCP-04-updated 2025.pdf www.dol.gov/owcp/dfec/regs/compliance/OWCP-04.pdf Form and Instruction