WebThis form should be furnished by the employer to any employee covered by the Longshore and Harbor Workers' Compensation OMB No. 1240-0014 Act or a related law who … WebYou can let your employer know using Form LS-201. If your loved one was a longshoreman who died in a work accident, your family will need to notify their employer of the death within 30 days as well. They can use Form LS-201 for that too. If you have questions about this form or providing notice, an experienced maritime attorney can help.
Department Of Labor – Court Forms - USLegal
WebWWW.JUGEFIRM.COM (504)831-7270 QUICK GUIDE TO LONGSHORE AND HARBOR WORKERS’ COMPENSATION ACT SIGNIFICANT FORMS LS-202 – Employer’s First Report of Injury or Occupational Illness a. File within 10 days of injury (lost time)/death b. Do not file if medical only c. File with OWCP in New York, NY d. Web1. You must secure Longshore insurance coverage through the purchase of insurance from an authorized carrier or by obtaining authorization from the OWCP to be self … our home at wares creek
Form LS-4 Attorney Fee Approval Request - OMB 1240-0058
Web1 de mar. de 2000 · This article discusses Federal longshore and harbor workers compensation insurance. The failure of state workers compensation statutes to address longshore exposures coupled with court rulings denying state workers compensation benefits to maritime employees injured upon United States navigable waters (considered … WebLongshore definition, existing, found, or employed along the shore, especially at or near a seaport: longshore jobs; longshore current. See more. DICTIONARY.COM WebDLHWC (Longshore) LS-271, Application for Self-Insurance DLHWC (Longshore) LS-274, Report of Injury Experience of Insurance Carrier or of Self-Insured Employer DLHWC (Longshore) LS-204, Attending Physician’s Supplementary Report DLHWC (Longshore) LS-262, Claim for Death Benefits DLHWC (Longshore) LS-203, Employee’s Claim for … our home based mom