Louisiana Administrative Code
Title 40 - LABOR AND EMPLOYMENT
Part I - Workers' Compensation Administration
Subpart 1 - General Administration
Chapter 11 - Workers' Compensation Insurance Cost Containment
Section I-1103 - Forms; Preparation and Adoption; Use

Universal Citation: LA Admin Code I-1103

Current through Register Vol. 50, No. 9, September 20, 2024

A. The Office of Workers' Compensation shall prepare and adopt such forms for use in workers' compensation cost containment as it may deem necessary and advisable. Whenever the Office of Workers' Compensation's forms are prescribed and are applicable, they shall be used. A photo ready copy of any form may be procured upon request to the office.

B. The following forms have been adopted by the Office of Workers' Compensation Administration for use in implementation of the Workers' Compensation Cost Containment Act.

FORMS

LDOL-WC-Form No. 1021

Application for Attendance at Cost Containment Meeting

LDOL-WC-Form No. 1022

Certificate of Attendance

LDOL-WC-Form No. 1023

Application for Implementation of Occupational Safety and Health Program

LDOL-WC-Form No. 1024

Certificate of Satisfactory Implementation of Occupation Safety and Health Program

AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1178.

Disclaimer: These regulations may not be the most recent version. Louisiana may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.