Form CM-929 "Report of Changes That May Affect Your Black Lung Benefits"

What Is Form CM-929?

This is a legal form that was released by the U.S. Department of Labor - Office of Workers' Compensation Programs on January 1, 2021 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

Form Details:

  • Released on January 1, 2021;
  • The latest available edition released by the U.S. Department of Labor - Office of Workers' Compensation Programs;
  • 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-929 by clicking the link below or browse more documents and templates provided by the U.S. Department of Labor - Office of Workers' Compensation Programs.

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Download Form CM-929 "Report of Changes That May Affect Your Black Lung Benefits"

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