LS-202 Employer's First Report of Injury or Occupational Illnes

Employer's First Report of Injury or Occupational Disease; Employer's Supplementary Report of Accident or Occupational Illness

ls-202 3-19-24

Employer's First Report of Injury or Occupational Disease; Employer's Supplementary Report of Accident or Occupational Illness

OMB: 1240-0003