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CM-908 Termination Notice – Fillable PDF Form

  1. Language English
  2. Country USA
  3. Department Department of Labor
  4. Agency Office of Workers' Compensation Programs
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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.

FAQ
  • What is the purpose of the CM-908 form?

    The CM-908 notifies the Department of Labor about termination, suspension, or adjustment of Black Lung benefit payments.

  • Can I file the CM-908 electronically?

    Yes. Using Formize’s online PDF filler, you can complete and submit the form electronically if your agency accepts electronic filings.

  • Do I need a paper signature?

    An electronic signature is legally binding for the CM-908, but keep a signed PDF copy for your records.

  • How long do I have to submit the form after a benefit change?

    The Department of Labor requires notification within 30 days of any change to a beneficiary’s status.

  • What if I make a mistake after submitting?

    Submit a corrected CM-908 using the same process, clearly marking it as a "Correction" in the reason field.

  • Is there a cost to use Formize’s filler?

    Formize offers a free basic filler for this form. No download or installation fees are required.

  • Where can I find help if I have questions about the form?

    Contact your local Department of Labor office or refer to the official guidance on the DOL website.

HOW TO

How to fill out CM-908 for free, online in 5 easy steps:

  1. 1
    Open the Fillable Form
    Click the "Fill out this form" button on the page. The Formize PDF Filler will load the CM-908 PDF directly in your browser.
  2. 2
    Enter Required Information
    Complete all required fields: payee details, action taken, reason for action, and payment summary. Use the drop‑down menus where provided.
  3. 3
    Add an Electronic Signature
    Click the signature field, type your name, and choose "Apply Signature". This creates a legally binding e‑signature.
  4. 4
    Review and Save
    Double‑check every entry for accuracy. Click "Save" to store a copy in your browser or download a PDF copy for your records.
  5. 5
    Submit the Form
    If your agency accepts electronic submissions, click "Submit" to send the completed CM-908 directly to the Department of Labor portal. Otherwise, download and mail the printed form.
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ABOUT

Department of Labor (DOL) Forms

CM-908 is one of the official forms that are used by the United States Department of Labor and its various agencies to collect information, administer programs, and enforce labor-related laws and regulations. The Department of Labor is a federal executive department responsible for promoting and protecting the welfare of workers, ensuring fair employment practices, and overseeing various aspects of labor and employment in the United States.

Here are some examples of Department of Labor forms:

Employment Eligibility Verification (Form I-9): While administered by the U.S. Citizenship and Immigration Services (USCIS), Form I-9 is often associated with the Department of Labor. It is used by employers to verify the identity and employment eligibility of individuals hired for employment in the United States.

Family and Medical Leave Act (FMLA) Forms: The DOL's Wage and Hour Division administers the FMLA, and various forms are used to implement and comply with the provisions of this federal law, including the Certification of Health Care Provider form and the FMLA Notice of Eligibility and Rights & Responsibilities form.

Occupational Safety and Health Administration (OSHA) Forms: OSHA, a division of the DOL, requires certain employers to maintain records of workplace injuries and illnesses using forms such as OSHA Form 300, OSHA Form 300A, and OSHA Form 301.

Unemployment Insurance Forms: The DOL's Employment and Training Administration oversees the Unemployment Insurance (UI) program, and various forms are used by state workforce agencies to administer and process UI benefits claims.

Wage and Hour Compliance Forms: The DOL's Wage and Hour Division enforces various labor laws, including the Fair Labor Standards Act (FLSA) and the Family and Medical Leave Act (FMLA). Employers may be required to use specific forms to maintain compliance with these laws, such as records of hours worked, wage rates, and other related information.

These examples represent some common categories of Department of Labor forms, but there are many other forms used by the DOL and its various agencies to carry out their responsibilities related to labor and employment. The specific forms required may vary depending on the program, regulation, or enforcement action involved. It's advisable to visit the official website of the U.S. Department of Labor (www.dol.gov) or consult with the relevant DOL agencies or legal professionals to obtain accurate and up-to-date information regarding the specific DOL forms relevant to your labor-related needs or compliance requirements.

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