Louisiana · Regulations
Chapter 67 — Forms
23 sections
23 sections
- LAC 40:I.6701LAC 40:I.6701. Annual Report of Workers' Compensation Costs; Form LW-WC-1000
- LAC 40:I.6703LAC 40:I.6703. Notice of Payment, Modification, Suspension, Termination or Controversion of Compensation or Medical Benefits; Form LW-WC-1002
- LAC 40:I.6705LAC 40:I.6705. Stop Payment Form; Form LW-WC-1003
- LAC 40:I.6707LAC 40:I.6707. Request for Social Security Benefits Information; Form LW-WC-1004
- LAC 40:I.6709LAC 40:I.6709. Motion for Recognition of Right to Social Security Offset; Form LW-WC-1005A
- LAC 40:I.6711LAC 40:I.6711. Order Recognizing Right to Social Security Offset; Form LW-WC-1005B
- LAC 40:I.6713LAC 40:I.6713. Subpoena for Deposition and Subpoena Deuces Tecum; Form LW-WC-1006A
- LAC 40:I.6715LAC 40:I.6715. Subpoena Deuces Tecum for Inspection; Form LW-WC-1006B
- LAC 40:I.6717LAC 40:I.6717. Subpoena and Subpoena Deuces Tecum; Form LW-WC-1006C
- LAC 40:I.6719LAC 40:I.6719. Employer’s Report of Injury/Illness; Form LW-WC-IA-1
- LAC 40:I.6721LAC 40:I.6721. Disputed Claim for Compensation; Form LW-WC-1008
- LAC 40:I.6725LAC 40:I.6725. Request for Compromise and Lump Sum Settlement; Form LW-WC-1011
- LAC 40:I.6727LAC 40:I.6727. Request for Independent Medical Examination; Form LW-WC-1015
- LAC 40:I.6729LAC 40:I.6729. Employee's Monthly Report of Earnings; Form LW-WC-1020
- LAC 40:I.6731LAC 40:I.6731. Employee Certificate of Compliance; Form LW-WC-1025EE
- LAC 40:I.6733LAC 40:I.6733. Employer Certificate of Compliance; Form LW-WC-1025ER
- LAC 40:I.6737LAC 40:I.6737. Attorney Fee Notice of Lien; Form LW-WC-1027
- LAC 40:I.6739LAC 40:I.6739. Scheduling Order; Form LW-WC-1028
- LAC 40:I.6741LAC 40:I.6741. Choice of Physician; Form LW-WC-1121
- LAC 40:I.6743LAC 40:I.6743. Workers’ Compensation Records Request Form; LW-WC-1150
- LAC 40:I.6745LAC 40:I.6745. Employee Authorization for OWCA to Release Confidential Workers’ Compensation Records; LW-WC-1151
- LAC 40:I.6747LAC 40:I.6747. Request for Waiver of Payment of Advance Costs Form; LW-WC-1160
- LAC 40:I.6749LAC 40:I.6749. Form for Judges to Report Contempt Findings