Quick Start

Type directly into the official fillable PDF.
Use Save / Download and the PDF viewer download icon to save a completed copy.
Use Open Saved Form later to retrieve that PDF.
Print when ready and follow the agency's submission instructions.

Works inside MedClaimSoftware

Both OWCP-957A and OWCP-957B are bundled locally in browser-compatible form, so switching between them does not depend on the DOL website allowing an embedded PDF.

What this form is for

Use OWCP-957A for mileage-only reimbursement and OWCP-957B for eligible travel expenses, following the current OWCP program instructions.

Agency: U.S. Department of Labor — OWCP

Your data stays local

MedClaimSoftware does not receive the information you type into the form. Save the completed PDF to a location you control.

Before submitting

Choose the correct version for your reimbursement request and review the current OWCP instructions before submitting.

Check the current official instructions →

Current file

OWCP-957A / OWCP-957B — blank official form

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