Forms Catalog Document - LS210 :-: ESA :-: Employer's Supplementary Report of Accident or Occupational Illness

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Employer's Supplementary Report of Accident or Occupational Illness

The LS-202 and LS-210 are used to report injuries, periods of disability, and medical treatment under the Longshore and Harbor Workers' Compensation Act.

Form #: LS 210
Agency: Department of Labor
Bureau: Employment Standards Administration
Common Name: 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

	TYPE	PAGES	SIZE (KB)	CAPABILITY	WHAT'S NEEDED
	Form Only	1	296	[3] Fillable + Printable	Adobe Reader Download

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