This is a legal form that was released by the U.S. Department of Labor - Division of Coal Mine Workers' Compensation on May 1, 2021 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
Form Details:
Download a fillable version of Form CM-893 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.