U.S. Department of Labor Forms

Physicians and other healthcare providers and professionals may use this legal document to submit claims for medical services. Form CMS-1500 provides information about the patient and insured, their diagnosis, treatment, and insurance details.

This Form is used for reporting information about Multiple Employer Welfare Arrangements (MEWAs) and certain entities claiming exception (ECES). It provides instructions on how to complete the Form M-1 Report, which is required by the federal government.

This document provides interim procedures for the federal external review process, specifically related to internal claims and appeals and external review under the Patient Protection and Affordable Care Act.

This document provides information about the new health insurance marketplace coverage options and how they may affect your current health coverage. It explains the benefits and enrollment process for these new options.

This document provides answers to common questions regarding Pregnancy Disability Leave. Find information about eligibility, benefits, and rights for pregnant employees.

This program offers federal tax credits to employers who hire veterans, helping to stimulate employment opportunities for American veterans.

This document provides information and resources for employers who want to hire veterans and take advantage of federal income tax credits. Hiring veterans can help stimulate the economy and support those who have served our country.

This form is used for recording wage survey interview information.

This form is used for reporting wages for domestic agricultural workers during the growing season. It is used to document and track the wages paid to agricultural workers in the United States.

This Form is used for applying for a review of a previous decision or action. It allows individuals to request a reconsideration of a decision or appeal a decision made by a government agency.

This form is used for reporting rehabilitation actions taken for an injured employee. It helps track the progress of the employee's rehabilitation process.

This Form is used for filing a claim for medical reimbursement from the Office of Workers' Compensation Programs (OWCP). It is used by individuals seeking compensation for their medical expenses related to a work-related injury or illness.