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Office of Workers' Compensation Programs

Division of Longshore and Harbor Workers' Compensation (DLHWC)

CHAPTER 10-300 — EXHIBITS

EXHIBIT NO

TITLE

DISTRIBUTION

PM REFERENCE

1

OWCP Organizational Chart

0-400.2a

2

District Office Directory

0-400.2b

3

LHWCA Bulletin Format

0-500.5

4

LHWCA Circular Format

0-500.5

5

LHWCA Procedure Manual Transmittal Format

0-500.6

6

LHWCA Industry Notice Format

0-500.5e

7

Extract of OWCP Records Disposal Schedule

1-502

8

(Reserved)

9

Transmittal Letter to OALJ

Orig: To OALJ
cc: EC,
All Representatives,
Case File

4-600.4

10

Notice of Initiation of Debarment Proceedings

Orig: To Health Care Provider or Claims Representative
cc: DO File

5-600.5

11

Notice of Debarment

Orig: To Health Care Provider or Claims Representative
cc: DO File

5-600.7

12

Form to Transmit Section 8(f) Application for NO Review

Orig: To NO
cc: Case File

6-201.7a

13

(Reserved)

14

Automatic Stay Provisions of Bankruptcy Code

6-202.2f

15

Waiver From Automatic Stay

6-202.2j,
6-202.7b,(5),
6-202.7d(5)

16

Letter to Notify Corporate Officers of Personal Liability for Compensation Payments

Orig: To Corporate Officer
cc: Case File

6-202.7a,
6-202.7(b)(1)

17

Letter to Follow-up on Incomplete Form LS-200/267

Orig: To Benefit Recipient
cc: Authorized Representative,
Case File

6-300.3b

18

Letter to Transmit Form LS-200/267 to EC

Orig: EC
cc: Case File

6-300.3c

19

Letter to Follow-up on Non-Receipt of Form LS-200/267

Orig: To Benefit Recipient
cc: Authorized Representative,
Case File

6-300.3d,
6-300.6a

20

Penalty Log

Orig: Remains in DO

8-301.9,
8-302.9,
8-400.7

21

Workload and Performance Standards Report

Orig: To NO
cc: DO

9-400

22

Q.R. & A. Corrective Action Report

Orig: To Office of Management, Administration, and Planning

9-500.3b

23

Summary of DO Operations Report

Orig: To Office of Management, Administration, and Planning

9-500.3d

24

24 (Reserved)

25

Off-Site Accountability Review Report

9-600.3a

26

NAWW, Minimum/Maximum and COLA Rates

2-201.3b(3),
3-301.3b

27

GPRA Log

 

9-800.5

28

Leaflet "Notice to Claimants Settling Claims"

 

3-501.12b(2)

29

Cover Letter for Leaflet "Notice to Claimants Settling Claims"

 

3-501.12b(2)