Get Owcp 957

Navigating the reimbursement process for medical travel can be intricate, but filling out the Owcp 957 form online simplifies this task. This guide provides clear, step-by-step instructions to ensure that users can efficiently complete the form and secure their reimbursement.

Follow the steps to efficiently complete the Owcp 957 form online.

1. Click the ‘Get Form’ button to obtain the form and open it in your preferred editor.
2. Enter the claimant's full name in the designated field. Make sure to include the last name, first name, and middle initial.
3. Provide the case or claim number in the relevant section to ensure accurate identification of your claim.
4. If you are requesting reimbursement on behalf of someone else, input the payee's full name, including last name, first name, and middle initial. Specify the relationship to the claimant and the reason for requesting reimbursement.
5. Fill in the address of the payee, ensuring all details including street/RFD, city, state, and zip code are accurate.
6. Complete separate blocks for each medical facility visited on the same day. Enter the date of travel and select one option for 'one-way' or 'round trip'. Specify the starting point and destination of your travel.
7. In the same block, list the name and address of the medical facility where services were rendered. Indicate the expenses being claimed for items like taxi, lodging, meals, and any others applicable.
8. Document the total number of miles traveled if you used a private automobile and ensure all receipts for expenses are attached.
9. Confirm all information is correct and sign where indicated in the payee’s certification. The signature indicates that the information provided is truthful to the best of your knowledge.
10. Once all parts of the form are complete, save your changes and prepare to download, print, or share the form as necessary.

Start filling out your Owcp 957 form online today to facilitate your reimbursement process.