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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.
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.
Requirements for Reimbursement of the OWCP 957A and 957B Forms. Original receipts are required for lodging, airfare, rental car, and any other expense that exceeds $75. Claimant’s last name and OWCP Claim Number must be listed on submitted attachments. Be sure to keep a copy for your records.
USE OF THIS FORM: This form is used to seek reimbursement for medical expenses (other than travel) incurred in the treatment of the condition(s) accepted by OWCP as work-related under the Federal Employees’ Compensation
1 sie 2024 · Updated versions of the OWCP-915 claimant reimbursement and DEEOIC authorization request forms are now available and have an expiration date of 07/31/2027. Please begin using the updated forms for any claimant reimbursement or DEEOIC authorization requests. Forms are available at https://owcpmed.dol.gov/portal/resources/forms-and-references ...
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
30 maj 2024 · 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.
