Louisiana Workers' Compensation Forms
A Service of the Mississippi Lawyers World Wide Web Domain

 
 
Annual Report of Workers' Compensation Costs
lawc_1000.pdf
Stop Payment Form
lawc_1003.pdf
Request for Social Security benefits Information
lawc_1004.pdf
Motion for Recognition of right to Social Security Offset
lawc_1005a.pdf
Order Recognizing Right to Social Security Offset
lawc_1005b.pdf
Subpoena and Subpoena Duces Tecum
lawc_1006.pdf
Employer Report of Injury/Illness
lawc_1007.pdf
Disputed Claim for Compensation
lawc_1008.pdf
Request for Compromise or Lump Sum Settlement
lawc_1011.pdf
Request for Independent Medical Exam
lawc_1015.pdf
Request for Waiver of Payment of Advance Costs
lawc_AdvCosts.pdf
Employer's Quarterly Report of Occupational Injury/Illness
lawc_1017a.pdf
Employee's Monthly Report of Earnings
lawc_1020.pdf
Employee Certificate of Compliance
lawc_1025ee.pdf
Employer Certificate of Compliance
lawc_1025er.pdf
Employee's Quarterly Report of Earnings
lawc_1026.pdf
Average Weekly Wage Computation
lawc_AvWW.pdf
Doctor Choice Form
lawc_1121.pdf
Minimum and Maximum Compensation Rates
lawc_MinMax.pdf
OWCA Order Form
lawc_Order.pdf
Special Reimbursement Consideration Appeal
lawc_3000.pdf
2003 OWCA Annual Report
2003_OWCA.pdf
2003 OWCA Report Supplement
2003_Supplement.pdf
2004 OWCA Annual Report
2004_OWCA.pdf

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