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This version of the form is not currently in use and is provided for reference only. Download this version of
Form CM-988
for the current year.
Form CM-988 Medical History and Examination for Coal Mine Workers' Pneumoconiosis
What Is Form CM-988?
This is a legal form that was released by the U.S. Department of Labor - Office of Workers' Compensation Programs on August 1, 2017 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-988?
A: Form CM-988 is a medical history and examination form specifically designed for coal mine workers' pneumoconiosis.
Q: What is coal mine workers' pneumoconiosis?
A: Coal mine workers' pneumoconiosis, also known as black lung disease, is a lung disease caused by the inhalation of coal dust.
Q: Who should complete Form CM-988?
A: Coal mine workers who are at risk of developing pneumoconiosis should complete Form CM-988.
Q: What information is included in Form CM-988?
A: Form CM-988 includes sections for personal information, medical history, physical examination findings, and results of diagnostic tests.
Q: Why is Form CM-988 important?
A: Form CM-988 is important for monitoring the health of coal mine workers and detecting early signs of pneumoconiosis.
Q: How often should Form CM-988 be completed?
A: Form CM-988 should be completed at least once every five years for coal mine workers.
Q: Is Form CM-988 mandatory?
A: Yes, Form CM-988 is mandatory for coal mine workers as part of their regular health monitoring.
Q: Who should I contact if I have questions about Form CM-988?
A: If you have questions about Form CM-988, you can contact the Mine Safety and Health Administration (MSHA) or your healthcare provider.
Form Details:
- Released on August 1, 2017;
- 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-988 by clicking the link below or browse more documents and templates provided by the U.S. Department of Labor - Office of Workers' Compensation Programs.
Download Form CM-988 Medical History and Examination for Coal Mine Workers' Pneumoconiosis
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