LAC 40:I.1901. Forms and Procedures

A. The following forms are prescribed for use pursuant to R.S. 23:1208(F): 1. LW-WC-1025.EE Employee Certificate of Compliance; 2. LW-WC-1025.ER Employer Certificate of Compliance; B. Per R.S. 23:1208(G), the employee shall, upon reasonable request, report his other earnings to his employer's payor on LW-WC-1020, Employee's Monthly Report of Earnings, unless an employee has only received medical benefits. C. Issues arising out failure to file these required forms are to follow procedures in R.S. 23:1201.1.