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View ESA-OWCP-DLHWC's Form Online 
| Agency: |
ESA-OWCP-DLHWC |
| Title: |
DLHWC (Longshore) LS-33, Approval of Compromise of Third Person Cause of Action |
| Form Description: |
DLHWC (Longshore) LS-33, Approval of Compromise of Third Person Cause of Action: The form used by legal representatives of the injured worker, insurance carrier or self insured employer who are seeking the Department of Labor Longshore Division’s Approval of Compromise of Third Person Cause of Action (third party settlement). The form must be submitted within 30 days of such third party settlements in order to protect the interested parties’ right to credit for payments made in such settlements against their liability for compensation benefits under the Longshore Act and extensions. |
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