This version of the form is not currently in use and is provided for reference only. Download this version of
Form LS-272
for the current year.
This is a legal form that was released by the U.S. Department of Labor - Office of Workers' Compensation Programs and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
Form Details:
Download a fillable version of Form LS-272 by clicking the link below or browse more documents and templates provided by the U.S. Department of Labor - Office of Workers' Compensation Programs.