Louisiana Administrative Code
Title 40 - LABOR AND EMPLOYMENT
Part I - Workers' Compensation Administration
Subpart 1 - General Administration
Chapter 19 - Fraud
Section I-1901 - Forms
Universal Citation: LA Admin Code I-1901
Current through Register Vol. 50, No. 9, September 20, 2024
A. The following forms are prescribed for use pursuant to R.S. 23:1208:
1.
LDOL-WC-1025 Employee's and Employer's Certificate of Compliance; and
2. LDOL-WC-1026 Employee's Quarterly Report
of Earnings.
AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1208 and 23:1291.
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