Get Dol Msha Form 2000-238 2015-2025

The DOL MSHA Form 2000-238 allows individuals or organizations to declare their representation of two or more miners at a mine. This guide provides step-by-step instructions on how to complete this form online effectively.

Follow the steps to complete the DOL MSHA Form 2000-238 online

1. Press the ‘Get Form’ button to access the online version of the DOL MSHA Form 2000-238.
2. In Item 1, select the type of filing by checking the appropriate box based on whether this is an initial filing, an update, or if the type is unknown.
3. In Item 2, indicate if you wish for the designation to remain confidential by checking the box if applicable, which will keep the miners' identities hidden.
4. Complete Item 3 with the necessary information regarding the representative’s name, address, city, state, zip code, telephone number, and email address, ensuring all required fields are filled out accurately.
5. In Item 4, provide the name of the mine operator or contractor, along with the Mine MSHA ID Number to accurately identify the mine related to this designation.
6. For Item 5, specify the scope of designation by selecting whether the representative serves for all purposes or is limited to specific sections of the Mine Act.
7. If applicable, use Item 6 to list any additional or alternate representatives. Make sure to fill in their respective details as required.
8. Finally, complete Item 7 by providing the names and telephone numbers of at least two miners who designate you as their representative. Ensure compliance with confidentiality requirements if applicable before submitting.
9. Once the form is completed, you can save your changes, download the form, print it, or share it as necessary.

Start filling out the DOL MSHA Form 2000-238 online today to ensure proper representation and compliance.