Louisiana Forms
5 State Forms found
| name | number | revision | print or send online | |
|---|---|---|---|---|
EMPLOYERS APPLICATION FOR THE PRIVILEGE OF PAYING COMPENSATION PROVIDED IN THE LOUISIANA WORKERS' COMPENSATION ACT AS SELF-INSURER |
LWC-WC-2005 | No Form/Rev Date | ||
SELF-INSURANCE APPLICATION CHECKLIST |
No Form Number | Undated Form | ||
SERVICE COMPANY APPLICATION |
LWC-WC-2007 | No Form/Rev Date | ||
SERVICE COMPANY APPLICATION CHECKLIST |
No Form Number | Undated Form | ||
REQUEST OF AUTHORIZATION - CARRIER OR SELF INSURED EMPLOYER RESPONSE |
LWC Form 1010 | No Date | ||
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