PDF
Word
This version of the form is not currently in use and is provided for reference only. Download this version of
Form CM-972
for the current year.
Form CM-972 Application for Approval of a Representative's Fee in a Black Lung Claim Proceeding Conducted by the U.S. Department of Labor
What Is Form CM-972?
This is a legal form that was released by the U.S. Department of Labor - Division of Coal Mine Workers' Compensation on November 1, 2019 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form CM-972?
A: Form CM-972 is an application for approval of a representative's fee in a Black Lung Claim proceeding conducted by the U.S. Department of Labor.
Q: Who uses Form CM-972?
A: Form CM-972 is used by representatives in Black Lung Claim proceedings.
Q: What is the purpose of Form CM-972?
A: The purpose of Form CM-972 is to request approval for a representative's fee in a Black Lung Claim proceedings.
Q: Are there any fees associated with filing Form CM-972?
A: No, there are no fees associated with filing Form CM-972.
Q: What documents should be included with Form CM-972?
A: Along with Form CM-972, you should include a copy of the representative's contract or fee agreement.
Q: What happens after I file Form CM-972?
A: After filing Form CM-972, the U.S. Department of Labor will review the application and make a determination on the representative's fee.
Q: Is there a deadline for filing Form CM-972?
A: Yes, Form CM-972 must be filed within 30 days from the date the representative's fee request is sent to the claimant.
Form Details:
- Released on November 1, 2019;
- The latest available edition released by the U.S. Department of Labor - Division of Coal Mine Workers' Compensation;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form CM-972 by clicking the link below or browse more documents and templates provided by the U.S. Department of Labor - Division of Coal Mine Workers' Compensation.
Download Form CM-972 Application for Approval of a Representative's Fee in a Black Lung Claim Proceeding Conducted by the U.S. Department of Labor
1
2
