This area allows users to filter and find official Department of Labor forms across a range of programs and services. It helps workers, employers, and the public quickly access the materials they need to request benefits, meet requirements, or submit information.
Results
101 - 120 of 167 results| Form name | Agencies | Form files | Details |
|---|---|---|---|
| OWCP LS-275ic: Agreement and Undertaking (Insurance Carrier) | AgencyOWCP | ||
| OWCP LS-275si: Agreement and Undertaking (Self-Insured Employer) | AgencyOWCP | ||
| OWCP LS-276: Application for Security Deposit Determination | AgencyOWCP | ||
| OWCP LS-33: Approval of Compromise of Third Person Cause of Action | AgencyOWCP | ||
| OWCP LS-4: Attorney Fee Approval Request | AgencyOWCP |
Expired
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| OWCP LS-426: Request for Earnings Information | AgencyOWCP | ||
| OWCP LS-5: Application for Special Fund Relief | AgencyOWCP |
Expired
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| OWCP LS-513: Report of Payments | AgencyOWCP | ||
| OWCP LS-570: Carrier's Report of Issuance of Policy | AgencyOWCP | ||
| OWCP LS-6: Commutation Application | AgencyOWCP |
Expired
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| OWCP LS-7: Request for Intervention | AgencyOWCP |
Expired
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| OWCP LS-8: Settlement Approval Request Section 8(i) | AgencyOWCP |
Expired
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| OWCP LS-801: Waiver of Service by Registered or Certified Mail for Employers and/or Insurance Carriers | AgencyOWCP | ||
| OWCP LS-802: Waiver of Service by Registered or Certified Mail for Claimants and Authorized Representatives | AgencyOWCP | ||
| OWCP LS-9: Stipulation Approval Request | AgencyOWCP |
Expired
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| OWCP-04: Uniform Billing Form | AgencyOWCP | ||
| OWCP-1: Agreement and Undertaking (Self-Insured Employer) | AgencyOWCP | ||
| OWCP-1168: Provider Enrollment form | AgencyOWCP | ||
| OWCP-1500: Health Insurance Claim Form | AgencyOWCP | ||
| OWCP-16: Rehabilitation Plan and Award | AgencyOWCP |