United States Department of Labor

Forms

Forms Used in DOL Adjudications

The following are forms used in DOL adjudications. If you do not already have an Acrobat Reader installed on your computer, you will need to download one to use these forms.

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Forms Used in DOL Adjudications for Appeals

Form Title	Format
ECAB Appeal Form AB-1
OALJ Subpoena Warning: Consult the rules on subpoenas before attempting to use an OALJ subpoena. Misuse may expose you to sanctions.
OALJ Black Lung Benefits Act Evidence Summary Form
OALJ LHWCA Pretrial Statement Form [Boston District Office] - Instructions
OALJ LHWCA Stipulations Form [Boston District Office] Instructions
OALJ LHWCA Pretrial Statement Form [San Francisco District Office] Instructions

Additional Forms

Other Department of Labor forms

OWCP - Black Lung Forms

OWCP - Longshore Forms

OWCP - DFEC - FECA Forms

ETA - Foreign Labor Certification Forms