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Fill out and download the OWCP-915 Claim for Medical Reimbursement form online for free. Easily submit your medical expenses for reimbursement using this editable PDF template.
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Instructions for use of FORM OWCP-915 Medical Reimbursement. 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.
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.
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 ...
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.
