DOL Form LS-202

View OWCP-DLHWC's Form LS-202 Online htm

Agency:

OWCP-DLHWC

Title:

DLHWC (Longshore) LS-202, Employer's First Report of Injury or Occupational Illness

Form Description:

DLHWC (Longshore) LS-202, Employer's First Report of Injury or Occupational Illness: This is a required form which is submitted by the employer to report an injury or occupational illness when the employer becomes aware of such injury or illness and/or the injured worker loses one or more shifts of work due to the injury/illness. It is a reporting tool, not an admission of liability.

OMB Control Number:

1215-0031