PDF
Word
Form OWCP-04 Uniform Billing Form
What Is Form OWCP-04?
This is a legal form that was released by the U.S. Department of Labor - Office of Workers' Compensation Programs on June 1, 2012 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 OWCP-04?
A: Form OWCP-04 is a Uniform Billing Form.
Q: Who uses Form OWCP-04?
A: Form OWCP-04 is used by the Office of Workers' Compensation Programs (OWCP).
Q: What is the purpose of Form OWCP-04?
A: The purpose of Form OWCP-04 is to submit bills and claims for medical services provided to injured workers.
Q: Is Form OWCP-04 mandatory?
A: Yes, Form OWCP-04 is mandatory for submitting bills and claims for medical services.
Q: Are there any specific guidelines for filling out Form OWCP-04?
A: Yes, there are specific guidelines and instructions provided with the form that must be followed.
Q: Can Form OWCP-04 be submitted electronically?
A: Yes, Form OWCP-04 can be submitted electronically.
Q: Who can help me with questions about Form OWCP-04?
A: You can contact the Office of Workers' Compensation Programs for assistance with any questions about Form OWCP-04.
Form Details:
- Released on June 1, 2012;
- 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 printable version of Form OWCP-04 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 OWCP-04 Uniform Billing Form
1
2
3
4
