OMB control number
Employer's First Report of Injury or Occupational Disease; Physician's Report on Impairment of Vision; and Employer's Supplementary Report of Accident or Occupational Illness
OMB 1215-0031 · DOL/ESA.
OMB 1215-0031
Latest Forms, Documents, and Supporting Material
Document Name |
|---|
Form |
Supporting Statement A |
Supplementary Document |
Form LS-202 Employer's First Report of Injury or Occupational Disease; Physician's Report on Impairment of Vision; and Employer's Supplementary Report of Accident or Occupational Illness
SS for 1215-0031 (LS-202 and LS-210) April 10, 2007.doc
Employer's First Report of Injury or Occupational Disease; Physician's Report on Impairment of Vision; and Employer's Supplementary Report of Accident or Occupational Illness All Historical Document Collections