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Submit forms online through the Employees' Compensation Operations and Management Portal (ECOMP). On the ECOMP site you can register for an account, initiate a claim, upload documents, submit forms, and access your case. OWCP's Federal Employees Program has made a variety of forms available online. These forms are only available in PDF format.
- OWCP-915 - Claim for Medical Reimbursement - U.S. Department of Labor
Form OWCP-915 can be used to seek reimbursement for expenses...
- OWCP-915 - Claim for Medical Reimbursement - U.S. Department of Labor
Form OWCP-915 can be used to seek reimbursement for expenses in regard to medical treatment, prescription medication and medical supplies. Please submit a separate reimbursement claim for each provider where an out of pocket expense was incurred. Please print clearly and legibly.
The OWCP-915 is used to seek reimbursement for out-of-pocket medical expenses pertaining to the treatment of an accepted condition including (but not limited to) medical treatments, prescription medications and medical supplies. Please submit a separate reimbursement form for each provider where an out of pocket expense was incurred.
If you are a Federal Employee you may also file a claim for benefits under the Federal Employees' Compensation Act (FECA). Depending upon your agency, start by filing OSHA's Form 301, then file a claim using either form CA-1 (for traumatic injury) or form CA-2 (for occupational disease).
For those forms, mail them to: U.S. Department of Labor OWCP/DEEOIC P.O. Box 8306 London, KY 40742-8306. Additionally, you can use the Energy Document Portal (EDP) to either file a new claim or uploaded documents to existing claims. For more information on EDP, please visit: http://www.dol.gov/EnergyProgramEDP. Employee's Claim: Form EE-1
Claimants are able to view eligibility, authorization, case status and bill status using the WCMBP Claimant Portal. What is the mailing address for claim reimbursements? Please submit your claims for reimbursement to the applicable address below: Division of Federal Employees’ Compensation (DFEC) PO Box 8300 London, KY 40742-8300
View the status of medical and pharmacy bills submitted in your claim by logging onto ECOMP. If you are a FECA, Energy or Longshore stakeholder, you can also view your case and the status of any disability claims.
