Louisiana Workforce Commission Forms
53
total templates
Legal
United States Legal Forms
Louisiana Legal Forms
Louisiana Workforce Commission
Documents
53
By default
By name
By form number
By size
PDF
SIB Formulario D "Cuestionario De Conocimiento Laboral Subsiguiente/Oferta De Trabajo Condicional" - Louisiana (Spanish)
Rate
(4.3 / 5)
19 votes
Size:
1 MB
6 pages
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form C "Student Data Certification Statement" - Louisiana
Rate
(4.5 / 5)
12 votes
Size:
444 KB
1 page
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form CI-9 "Unemployment Benefits Rights and Responsibilities (Benefits Rights Information)" - Louisiana
Rate
(4.8 / 5)
27 votes
Size:
340 KB
14 pages
+ show tags
- hide tags
Louisiana Unemployment Claim Forms
Unemployment Claim Form
Welfare Benefits
Louisiana Legal Forms
Legal
United States Legal Forms
View form
Download
PDF
SIB Form D "Post-hire/Conditional Job Offer Knowledge Questionnaire" - Louisiana
Rate
(4.7 / 5)
9 votes
Size:
134 KB
6 pages
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
SIB Form B "Request for Reimbursement" - Louisiana
Rate
(4.8 / 5)
24 votes
Size:
209 KB
1 page
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form LWC-ES1 "Employer Application for La Unemployment Account" - Louisiana
Rate
(4.8 / 5)
42 votes
Size:
398 KB
2 pages
+ show tags
- hide tags
Louisiana Workers Compensation Forms
DWC Forms
Louisiana Legal Forms
Legal
United States Legal Forms
View form
Download
PDF
Form LWC-WC IA-1 "Workers Compensation - First Report of Injury or Illness" - Louisiana
Rate
(4.8 / 5)
67 votes
Size:
278 KB
3 pages
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
SIB Form A "Notice of Claim With Second Injury Fund" - Louisiana
Rate
(4.6 / 5)
8 votes
Size:
37 KB
1 page
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form CI-9A "Abbreviated Unemployment Benefits Rights and Responsibilities (Benefit Rights Information)" - Louisiana
Rate
(4.7 / 5)
19 votes
Size:
196 KB
6 pages
+ show tags
- hide tags
Louisiana Unemployment Claim Forms
Unemployment Claim Form
Welfare Benefits
Louisiana Legal Forms
Legal
United States Legal Forms
View form
Download
PDF
Form LWC-ES51 "Quarterly Wage & Tax Report - Amendment Form" - Louisiana
Rate
(4.8 / 5)
8 votes
Size:
67 KB
1 page
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form LWC-UI130 "Application for Approved Training" - Louisiana
Rate
(4.6 / 5)
42 votes
Size:
22 KB
2 pages
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form LWC-ES51B "Employer's Social Security Number Correction Form" - Louisiana
Rate
(4.5 / 5)
15 votes
Size:
31 KB
1 page
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form LWC-WC-1151 "Employee Authorization for Owca to Release Confidential Workers' Compensation Records" - Louisiana
Rate
(4.3 / 5)
12 votes
Size:
117 KB
2 pages
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form LWC-WC-1150 "Workers' Compensation Records Request Form" - Louisiana
Rate
(4.4 / 5)
18 votes
Size:
126 KB
2 pages
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form LWC-WC1009 "Disputed Claim for Medical Treatment" - Louisiana
Rate
(4.6 / 5)
22 votes
Size:
55 KB
2 pages
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form LWC-WC1015 "Request for Independent Medical Exam" - Louisiana
Rate
(4.7 / 5)
14 votes
Size:
91 KB
1 page
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form LWC-WC-1008 "Disputed Claim for Compensation" - Louisiana
Rate
(4.3 / 5)
13 votes
Size:
74 KB
2 pages
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form LWC-WC1021 "Cost Containment Application" - Louisiana
Rate
(4.3 / 5)
24 votes
Size:
154 KB
1 page
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form LWC-WC-1020 "Employee's Monthly Report of Earnings" - Louisiana
Rate
(4.7 / 5)
40 votes
Size:
42 KB
1 page
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form LWC-WC-1026 "Employee's Quarterly Report of Earnings" - Louisiana
Rate
(4.8 / 5)
16 votes
Size:
27 KB
1 page
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form LWC-WC-1003 "Stop Payment Form" - Louisiana
Rate
(4.5 / 5)
24 votes
Size:
54 KB
1 page
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form LWC-WC-1011 "Request for Compromise or Lump Sum Settlement" - Louisiana
Rate
(4.8 / 5)
24 votes
Size:
58 KB
1 page
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form LWC-WC1121 "Physician Choice Form" - Louisiana
Rate
(4.5 / 5)
24 votes
Size:
171 KB
1 page
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Formulario LWC-WC1020 "Reporte Mensual De Ganancias Del Empleado" - Louisiana (Spanish)
Rate
(4.4 / 5)
10 votes
Size:
16 KB
2 pages
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form LWC-WC3000 "Special Reimbursement Consideration Appeal" - Louisiana
Rate
(4.7 / 5)
15 votes
Size:
28 KB
1 page
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form LWC-WC-2005 "Employers Application for the Privilege of Paying Compensation Provided in the Louisiana Workers' Compensation Act as Self-insurer" - Louisiana
Rate
(4.6 / 5)
19 votes
Size:
56 KB
3 pages
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form LWC-WC-2007 "Service Company Application" - Louisiana
Rate
(4.8 / 5)
12 votes
Size:
114 KB
2 pages
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form LWC-WC-1005B "Order Recognizing Right to Social Security Offset" - Louisiana
Rate
(4.7 / 5)
32 votes
Size:
19 KB
1 page
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form LWC-WC-1025.EE "Employee Certificate of Compliance" - Louisiana
Rate
(4.4 / 5)
45 votes
Size:
15 KB
1 page
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form LWC-WC-1025.ER "Employer Certificate of Compliance" - Louisiana
Rate
(4.4 / 5)
98 votes
Size:
17 KB
1 page
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Formulario LDOL-WC1025.EE "Certificado De Conformidad Del Trabajador" - Louisiana (Spanish)
Rate
(4.8 / 5)
23 votes
Size:
71 KB
2 pages
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
Form LWC-ES319 RC-1 "Employer's Request for Approval to Elect to Cover Multi-State Workers Under the Louisiana Employment Security Law" - Louisiana
Rate
(4.7 / 5)
6 votes
Size:
98 KB
2 pages
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
"Application to Employ Minors Under Age 18" - Louisiana
Rate
(4.4 / 5)
11 votes
Size:
359 KB
1 page
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
"Authorization Agreement for Electronic Funds Transfer (Eft) of Lwc Unemployment Tax Payments" - Louisiana
Rate
(4.5 / 5)
18 votes
Size:
95 KB
1 page
+ show tags
- hide tags
Louisiana Unemployment Claim Forms
Unemployment Claim Form
Welfare Benefits
Louisiana Legal Forms
Legal
United States Legal Forms
View form
Download
PDF
"Incumbent Worker Training Program Social Services Contract" - Louisiana
Rate
(4.4 / 5)
14 votes
Size:
80 KB
12 pages
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
"Certificate of Attendance" - Louisiana
Rate
(4.4 / 5)
78 votes
Size:
104 KB
2 pages
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
"Registered Apprenticeship Tax Credit Certification" - Louisiana
Rate
(4.6 / 5)
45 votes
Size:
210 KB
2 pages
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
"Fraud Reporting Form for Unemployment Insurance Benefits" - Louisiana
Rate
(4.6 / 5)
5 votes
Size:
120 KB
2 pages
+ show tags
- hide tags
Louisiana Unemployment Claim Forms
Unemployment Claim Form
Welfare Benefits
Louisiana Legal Forms
Legal
United States Legal Forms
View form
Download
PDF
"Application and Agreement for Partial Transfer of Experience Rating Record" - Louisiana
Rate
(4.6 / 5)
26 votes
Size:
95 KB
2 pages
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
PDF
"Request for Recertification" - Louisiana
Rate
(4.8 / 5)
87 votes
Size:
52 KB
1 page
+ show tags
- hide tags
Louisiana Legal Forms
United States Legal Forms
View form
Download
Legal
Business
Financial
Life
Miscellaneous
Medical
Letters
Education
Share
Url of this page:
HTML Link:
![SIB Formulario D "Cuestionario De Conocimiento Laboral Subsiguiente/Oferta De Trabajo Condicional" - Louisiana (Spanish)](https://data.templateroller.com/pdf_docs_html/2026/20268/2026867/sib-formulario-d-cuestionario-de-conocimiento-laboral-subsiguiente-oferta-de-trabajo-condicional-louisiana-spanish.png "SIB Formulario D "Cuestionario De Conocimiento Laboral Subsiguiente/Oferta De Trabajo Condicional" - Louisiana (Spanish)")
![Form C "Student Data Certification Statement" - Louisiana](https://data.templateroller.com/pdf_docs_html/2026/20268/2026868/form-c-student-data-certification-statement-louisiana.png "Form C "Student Data Certification Statement" - Louisiana")
![Form CI-9 "Unemployment Benefits Rights and Responsibilities (Benefits Rights Information)" - Louisiana](https://data.templateroller.com/pdf_docs_html/2049/20497/2049740/form-ci-9-unemployment-benefits-rights-and-responsibilities-benefits-rights-information-louisiana.png "Form CI-9 "Unemployment Benefits Rights and Responsibilities (Benefits Rights Information)" - Louisiana")
![SIB Form D "Post-hire/Conditional Job Offer Knowledge Questionnaire" - Louisiana](https://data.templateroller.com/pdf_docs_html/2010/20101/2010108/sib-form-d-post-hire-conditional-job-offer-knowledge-questionnaire-louisiana.png "SIB Form D "Post-hire/Conditional Job Offer Knowledge Questionnaire" - Louisiana")
![SIB Form B "Request for Reimbursement" - Louisiana](https://data.templateroller.com/pdf_docs_html/2026/20268/2026863/sib-form-b-request-for-reimbursement-louisiana.png "SIB Form B "Request for Reimbursement" - Louisiana")
![Form LWC-ES1 "Employer Application for La Unemployment Account" - Louisiana](https://data.templateroller.com/pdf_docs_html/289/2898/289812/form-lwc-es-1-employer-application-la-unemployment-account-louisiana.png "Form LWC-ES1 "Employer Application for La Unemployment Account" - Louisiana")
![Form LWC-WC IA-1 "Workers Compensation - First Report of Injury or Illness" - Louisiana](https://data.templateroller.com/pdf_docs_html/2016/20164/2016457/form-lwc-wc-ia-1-workers-compensation-first-report-of-injury-or-illness-louisiana.png "Form LWC-WC IA-1 "Workers Compensation - First Report of Injury or Illness" - Louisiana")
![SIB Form A "Notice of Claim With Second Injury Fund" - Louisiana](https://data.templateroller.com/pdf_docs_html/2016/20164/2016464/sib-form-a-notice-of-claim-with-second-injury-fund-louisiana.png "SIB Form A "Notice of Claim With Second Injury Fund" - Louisiana")
![Form CI-9A "Abbreviated Unemployment Benefits Rights and Responsibilities (Benefit Rights Information)" - Louisiana](https://data.templateroller.com/pdf_docs_html/2049/20497/2049739/form-ci-9a-abbreviated-unemployment-benefits-rights-and-responsibilities-benefit-rights-information-louisiana.png "Form CI-9A "Abbreviated Unemployment Benefits Rights and Responsibilities (Benefit Rights Information)" - Louisiana")
![Form LWC-ES51 "Quarterly Wage & Tax Report - Amendment Form" - Louisiana](https://data.templateroller.com/pdf_docs_html/369/3699/369947/form-lwc-es51-quarterly-wage-tax-report-amendment-form-louisiana.png "Form LWC-ES51 "Quarterly Wage & Tax Report - Amendment Form" - Louisiana")
![Form LWC-UI130 "Application for Approved Training" - Louisiana](https://data.templateroller.com/pdf_docs_html/1797/17970/1797029/form-lwc-ui130-application-for-approved-training-louisiana.png "Form LWC-UI130 "Application for Approved Training" - Louisiana")
![Form LWC-ES51B "Employer's Social Security Number Correction Form" - Louisiana](https://data.templateroller.com/pdf_docs_html/2008/20080/2008056/form-lwc-es51b-employer-s-social-security-number-correction-form-louisiana.png "Form LWC-ES51B "Employer's Social Security Number Correction Form" - Louisiana")
![Form LWC-WC-1151 "Employee Authorization for Owca to Release Confidential Workers' Compensation Records" - Louisiana](https://data.templateroller.com/pdf_docs_html/2026/20268/2026860/form-lwc-wc-1151-employee-authorization-for-owca-to-release-confidential-workers-compensation-records-louisiana.png "Form LWC-WC-1151 "Employee Authorization for Owca to Release Confidential Workers' Compensation Records" - Louisiana")
![Form LWC-WC-1150 "Workers' Compensation Records Request Form" - Louisiana](https://data.templateroller.com/pdf_docs_html/2010/20101/2010106/form-lwc-wc-1150-workers-compensation-records-request-form-louisiana.png "Form LWC-WC-1150 "Workers' Compensation Records Request Form" - Louisiana")
![Form LWC-WC1009 "Disputed Claim for Medical Treatment" - Louisiana](https://data.templateroller.com/pdf_docs_html/225/2259/225947/form-lwc-wc1009-disputed-claim-for-medical-treatment-louisiana.png "Form LWC-WC1009 "Disputed Claim for Medical Treatment" - Louisiana")
![Form LWC-WC1015 "Request for Independent Medical Exam" - Louisiana](https://data.templateroller.com/pdf_docs_html/334/3348/334856/form-lwc-wc1015-request-for-independent-medical-exam-louisiana.png "Form LWC-WC1015 "Request for Independent Medical Exam" - Louisiana")
![Form LWC-WC-1008 "Disputed Claim for Compensation" - Louisiana](https://data.templateroller.com/pdf_docs_html/287/2871/287135/form-lwc-wc-1008-disputed-claim-for-compensation-louisiana.png "Form LWC-WC-1008 "Disputed Claim for Compensation" - Louisiana")
![Form LWC-WC1021 "Cost Containment Application" - Louisiana](https://data.templateroller.com/pdf_docs_html/2016/20164/2016459/form-lwc-wc1021-cost-containment-application-louisiana.png "Form LWC-WC1021 "Cost Containment Application" - Louisiana")
![Form LWC-WC-1020 "Employee's Monthly Report of Earnings" - Louisiana](https://data.templateroller.com/pdf_docs_html/1728/17285/1728584/form-lwc-wc-1020-employee-s-monthly-report-earnings-louisiana.png "Form LWC-WC-1020 "Employee's Monthly Report of Earnings" - Louisiana")
![Form LWC-WC-1026 "Employee's Quarterly Report of Earnings" - Louisiana](https://data.templateroller.com/pdf_docs_html/242/2427/242776/form-lwc-wc-1026-employee-s-quarterly-report-of-earnings-louisiana.png "Form LWC-WC-1026 "Employee's Quarterly Report of Earnings" - Louisiana")
![Form LWC-WC-1003 "Stop Payment Form" - Louisiana](https://data.templateroller.com/pdf_docs_html/335/3358/335868/form-lwc-wc-1003-stop-payment-form-louisiana.png "Form LWC-WC-1003 "Stop Payment Form" - Louisiana")
![Form LWC-WC-1011 "Request for Compromise or Lump Sum Settlement" - Louisiana](https://data.templateroller.com/pdf_docs_html/1999/19998/1999824/form-lwc-wc-1011-request-for-compromise-or-lump-sum-settlement-louisiana.png "Form LWC-WC-1011 "Request for Compromise or Lump Sum Settlement" - Louisiana")
![Form LWC-WC1121 "Physician Choice Form" - Louisiana](https://data.templateroller.com/pdf_docs_html/205/2055/205591/form-lwc-wc1121-physician-choice-form-louisiana.png "Form LWC-WC1121 "Physician Choice Form" - Louisiana")
![Formulario LWC-WC1020 "Reporte Mensual De Ganancias Del Empleado" - Louisiana (Spanish)](https://data.templateroller.com/pdf_docs_html/2026/20268/2026865/formulario-lwc-wc1020-reporte-mensual-de-ganancias-del-empleado-louisiana-spanish.png "Formulario LWC-WC1020 "Reporte Mensual De Ganancias Del Empleado" - Louisiana (Spanish)")
![Form LWC-WC3000 "Special Reimbursement Consideration Appeal" - Louisiana](https://data.templateroller.com/pdf_docs_html/2016/20164/2016463/form-lwc-wc3000-special-reimbursement-consideration-appeal-louisiana.png "Form LWC-WC3000 "Special Reimbursement Consideration Appeal" - Louisiana")
![Form LWC-WC-2005 "Employers Application for the Privilege of Paying Compensation Provided in the Louisiana Workers' Compensation Act as Self-insurer" - Louisiana](https://data.templateroller.com/pdf_docs_html/2016/20164/2016462/form-lwc-wc-2005-employers-application-for-the-privilege-of-paying-compensation-provided-in-the-louisiana-workers-compensation-act-as-self-insurer-louisiana.png "Form LWC-WC-2005 "Employers Application for the Privilege of Paying Compensation Provided in the Louisiana Workers' Compensation Act as Self-insurer" - Louisiana")
![Form LWC-WC-2007 "Service Company Application" - Louisiana](https://data.templateroller.com/pdf_docs_html/2008/20080/2008010/form-lwc-wc-2007-service-company-application-louisiana.png "Form LWC-WC-2007 "Service Company Application" - Louisiana")
![Form LWC-WC-1005B "Order Recognizing Right to Social Security Offset" - Louisiana](https://data.templateroller.com/pdf_docs_html/2016/20164/2016456/form-lwc-wc-1005b-order-recognizing-right-to-social-security-offset-louisiana.png "Form LWC-WC-1005B "Order Recognizing Right to Social Security Offset" - Louisiana")
![Form LWC-WC-1025.EE "Employee Certificate of Compliance" - Louisiana](https://data.templateroller.com/pdf_docs_html/236/2364/236496/form-lwc-wc-1025-ee-employee-certificate-compliance-louisiana.png "Form LWC-WC-1025.EE "Employee Certificate of Compliance" - Louisiana")
![Form LWC-WC-1025.ER "Employer Certificate of Compliance" - Louisiana](https://data.templateroller.com/pdf_docs_html/2016/20164/2016460/form-lwc-wc-1025-er-employer-certificate-of-compliance-louisiana.png "Form LWC-WC-1025.ER "Employer Certificate of Compliance" - Louisiana")
![Formulario LDOL-WC1025.EE "Certificado De Conformidad Del Trabajador" - Louisiana (Spanish)](https://data.templateroller.com/pdf_docs_html/2026/20268/2026857/formulario-ldol-wc1025-ee-certificado-de-conformidad-del-trabajador-louisiana-spanish.png "Formulario LDOL-WC1025.EE "Certificado De Conformidad Del Trabajador" - Louisiana (Spanish)")
![Form LWC-ES319 RC-1 "Employer's Request for Approval to Elect to Cover Multi-State Workers Under the Louisiana Employment Security Law" - Louisiana](https://data.templateroller.com/pdf_docs_html/2026/20268/2026861/form-lwc-es319-rc-1-employer-s-request-for-approval-to-elect-to-cover-multi-state-workers-under-the-louisiana-employment-security-law-louisiana.png "Form LWC-ES319 RC-1 "Employer's Request for Approval to Elect to Cover Multi-State Workers Under the Louisiana Employment Security Law" - Louisiana")
!["Application to Employ Minors Under Age 18" - Louisiana](https://data.templateroller.com/pdf_docs_html/2064/20646/2064683/application-to-employ-minors-under-age-18-louisiana.png ""Application to Employ Minors Under Age 18" - Louisiana")
!["Authorization Agreement for Electronic Funds Transfer (Eft) of Lwc Unemployment Tax Payments" - Louisiana](https://data.templateroller.com/pdf_docs_html/2010/20101/2010103/authorization-agreement-for-electronic-funds-transfer-eft-of-lwc-unemployment-tax-payments-louisiana.png ""Authorization Agreement for Electronic Funds Transfer (Eft) of Lwc Unemployment Tax Payments" - Louisiana")
!["Incumbent Worker Training Program Social Services Contract" - Louisiana](https://data.templateroller.com/pdf_docs_html/2026/20268/2026862/incumbent-worker-training-program-social-services-contract-louisiana.png ""Incumbent Worker Training Program Social Services Contract" - Louisiana")
!["Certificate of Attendance" - Louisiana](https://data.templateroller.com/pdf_docs_html/1797/17977/1797701/certificate-of-attendance-louisiana.png ""Certificate of Attendance" - Louisiana")
!["Registered Apprenticeship Tax Credit Certification" - Louisiana](https://data.templateroller.com/pdf_docs_html/2016/20167/2016763/registered-apprenticeship-tax-credit-certification-louisiana.png ""Registered Apprenticeship Tax Credit Certification" - Louisiana")
!["Fraud Reporting Form for Unemployment Insurance Benefits" - Louisiana](https://data.templateroller.com/pdf_docs_html/327/3272/327207/fraud-reporting-form-for-unemployment-insurance-benefits-louisiana.png ""Fraud Reporting Form for Unemployment Insurance Benefits" - Louisiana")
!["Application and Agreement for Partial Transfer of Experience Rating Record" - Louisiana](https://data.templateroller.com/pdf_docs_html/333/3339/333904/application-and-agreement-for-partial-transfer-of-experience-rating-record-louisiana.png ""Application and Agreement for Partial Transfer of Experience Rating Record" - Louisiana")
!["Request for Recertification" - Louisiana](https://data.templateroller.com/pdf_docs_html/2016/20169/2016965/request-for-recertification-louisiana.png ""Request for Recertification" - Louisiana")
