CM-908 Termination Notice – Fillable PDF Form

The CM-908 Termination Notice is the official form used by the U.S. Department of Labor to report the termination, suspension, or adjustment of benefit payments under the Black Lung Benefits Act. Accurate completion of this form is essential for compliance and to avoid civil penalties.

Formize offers a secure, browser‑based PDF filler that lets you complete the CM-908 without downloading any software. Simply click the "Fill out this form" button, edit the fields, and submit the completed document directly to the Department of Labor.

What Is the CM-908 Termination Notice?

This form captures critical details such as the payee’s name and address, the action taken (terminated, suspended, reduced, or increased), the reason for the action, and a summary of any payments made. It is required whenever a beneficiary’s eligibility changes.

How to Complete the CM-908 Form Online

Follow the step‑by‑step guide below to fill out the CM-908 quickly and correctly.

Common Mistakes to Avoid

• Leaving any required field blank.
• Selecting the wrong action type.
• Providing vague or incomplete reasons for the action.
• Failing to sign electronically before submission.

Download & Fill the PDF Instantly

Our integrated Formize PDF Filler loads the official CM-908 PDF (provided by the Department of Labor) directly in your browser. No extra plugins required.

Submission Guidelines for the Department of Labor

After completing the form, you can either download a signed copy for your records or submit it electronically through the Department’s portal. Be sure to keep a copy of the confirmation receipt.