Document Name Document Type |
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Other-Recordkeeping |
Instruction |
Instruction |
Form and Instruction |
LS-201 Notice of Employee's Injury or Death ls-201.pdf www.dol.gov/sites/dolgov/files/owcp/dlhwc/ls-201.pdf Form and Instruction |
LS-203 Employee's Claim for Compensation ls-203.pdf www.dol.gov/sites/dolgov/files/owcp/dlhwc/ls-203.pdf Form and Instruction |
LS-204 Attending Physician's Supplementary Report ls-204.pdf www.dol.gov/sites/dolgov/files/owcp/dlhwc/ls-204.pdf Form and Instruction |
Form and Instruction |
Form and Instruction |
LS-272 Application to write Longshore Insurance LS-272.pdf www.dol.gov/sites/dolgov/files/owcp/dlhwc/LS-272.pdf Form and Instruction |
LS-274 Report of Injury Experience of Insurance Carrier or Self-Insured Employer LS-274.pdf www.dol.gov/sites/dolgov/files/owcp/dlhwc/LS-274.pdf Form and Instruction |
Form and Instruction |
Form and Instruction |
IC Document |