View and Print Travel Reimbursement

OWCP-957 Form

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How to get reimbursed for travel

Traveling to doctors’ appointments, testing appointments, and picking up medication can get expensive quickly. Luckily, EEOICPA “white card” holders can get reimbursed for any mileage related to medical travel by filling out an OWCP 957 Form.

Medical travel eligible for reimbursement includes:

  • Doctor or Clinic Appointments
  • Medical Testing or Procedure Visits
  • Lab Visits
  • Prescription Pick-up
  • Long-Distance Medical Travel

OWCP 957 medical travel reimbursement

For travel under 200 miles round-trip, you can request reimbursement for:

  • Mileage
  • Tolls
  • Parking

For travel over 200 miles round-trip, pre-approval of expenses is necessary. Typically, you can request reimbursement for:

  • Mileage/Tolls/Parking
  • Meals
  • Lodging
  • Travel Companion Expenses
  • Taxi, Bus, Airfare
  • Other expenses upon pre-approval

**If you’re planning a major medical travel event you must contact your local EEOICPA Resource Center for approval prior to finalizing travel arrangements.

Where to mail:

All OWCP-957 forms should be sent to:

U.S. Department of Labor

DFEC Central Mailroom

PO Box 8300

London, KY 40742

Keep in mind:

  • For pharmacy trips check “home” in boxes 5c and 5d. Under “e. Medical Facility Name and Address” make sure to list the pharmacy name and full address including zip code.
  • Only submit mileage reimbursement for appointments related to your “accepted illness.” If you aren’t approved for diabetes treatment, then you won’t be able to expense travel related to that illness.
  • The Dept. of Labor will also reimburse for medical transport services
  • Include your case/claim number (typically your social security number) on all submitted pages.
  • All travel reimbursement requests must be submitted within 1 year of the expense.
  • The OWCP-957 form is used to submit all travel expenses. Up to 3 trips can be expensed on one form.
  • Doctor’s signature is only required for Black Lung patients.

More questions? Call us at (800) 718-5658

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