Subscribe to E-mail Updates
|
|
DOL Home > Find It! By Form > DOL Form |
DOL Form LS-205
Agency: | OWCP-DLHWC |
Title: | DLHWC (Longshore) LS-205, Physician's Report on Impairment of Vision |
Form Description: | DLHWC (Longshore) LS-205, Physician's Report on Impairment of Vision: In vision injuries, the treating physician uses this form to report their findings and diagnosis. |
OMB Control Number: | 1240-0003 |