First Report of Injury (Longshore)
Reporting a Longshore (USL&H) Injury
Employees injured while engaged in maritime employment upon the navigable waters of the United States require the completion of Form LS-202. Timeliness is especially important with longshore reporting. If a report is filed after 10 days of the incident, employers will receive a “show cause” letter (Form LS-512) from the U.S. Department of Labor requesting an explanation of the untimely reporting. A written response must be submitted within 21 days to avoid a fine. Upon the employee’s return to work, the employer must also file Form LS-210, which also can be used to report a second period of disability. LWCC can assist with the completion and return of longshore forms.
Please access the latest version of the appropriate form provided by the Louisiana Workforce Commission below.
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