Notice of Controversion of Right to Compensation

OMB 1240-0042

Form LS-207 is used by insurance carriers and self-insured employers to controvert claims under the Longshore Act and extensions.

The latest form for Notice of Controversion of Right to Compensation expires 2021-09-30 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form LS-207 Notice of Controversion of Right to Compensation Form
LS207SupportingStatementJune2024_MN3_CLEAN.docx Supporting Statement A
5 USC 914(d).doc Supplementary Document
20 CFR 702.251.doc Supplementary Document
Notice of Controversion of Right to Compensation Form

All Historical Document Collections

202406-1240-003	Extension without change of a currently approved collection	2024-07-24
202105-1240-002 Approved without change	Revision of a currently approved collection	2021-07-01
202008-1240-055	No material or nonsubstantive change to a currently approved collection	2020-12-15
201803-1240-002 Approved without change	Revision of a currently approved collection	2018-06-01
201411-1240-001 Approved without change	Revision of a currently approved collection	2015-02-27
201409-1240-008 Approved without change	No material or nonsubstantive change to a currently approved collection	2014-09-30
201109-1240-003 Approved without change	Revision of a currently approved collection	2011-12-30
201003-1240-042 Approved without change	Extension without change of a currently approved collection	2010-03-12