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Owcp 1240 0037-2026
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- Click ‘Get Form’ to open the OWCP 1240 0037 in the editor.
- Begin by entering the claimant's full name in the designated field, ensuring you include the last name, first name, and middle initial.
- Next, input the case or claim number accurately to link your request with your records.
- If applicable, provide the payee's name if it differs from the claimant's. This is crucial for reimbursement processing.
- Fill in the complete address of the claimant or payee, including street/RFD, city, state, and zip code.
- For each medical facility visited on a specific date, complete a separate block. Enter the date of travel and mark whether it was a round trip or one-way.
- List all expenses incurred for travel such as taxi fares or lodging. Ensure to attach original receipts for verification.
- Finally, sign and date the form to certify that all information provided is accurate before submitting it through our platform.
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