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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- 202
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
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TYPE |
PAGES |
SIZE (KB) |
CAPABILITY |
WHAT'S NEEDED |
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Form Only
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0
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225
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[4] Fillable + Fileable
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Adobe Reader
Download
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