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- Click ‘Get Form’ to open the OWCP 957 fillable form in our platform.
- 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 claim/case number accurately to link your request with your records.
- If a payee is different from the claimant, provide their full name and address. Make sure to explain your relationship to the claimant and reason for reimbursement.
- For each medical facility visited on the same day, complete a separate block. Enter the date of travel, select whether it was one-way or round trip, and specify where you traveled from and to.
- List all expenses incurred during travel in the appropriate fields. Include taxi fares, bus/train costs, lodging, meals, and any other relevant expenses.
- Finally, ensure that you sign and date the form at the bottom as a certification of accuracy before submitting it along with original receipts.
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form owcp 957
957 Form - Write your name and owcp claim number on. Web this form should be used for medically related travel covered by the federal employees compensationRead more
This is a mileage only reimbursement form. If you need other travel expenses reimbursed, complete Form OWCP-957. Part B Medical Travel Refund Request - ExpensesRead more