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This version of the form is not currently in use and is provided for reference only. Download this version of
Form LS-203
for the current year.
Form LS-203 Employee's Claim for Compensation
What Is Form LS-203?
This is a legal form that was released by the U.S. Department of Labor - Office of Workers' Compensation Programs on August 1, 2014 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.
FAQ
Q: What is Form LS-203?
A: Form LS-203 is an Employee's Claim for Compensation form.
Q: Who can use Form LS-203?
A: Form LS-203 is used by employees who want to file a claim for compensation.
Q: What is the purpose of Form LS-203?
A: The purpose of Form LS-203 is to request compensation for work-related injuries or illnesses.
Q: How do I obtain Form LS-203?
A: Form LS-203 can be obtained from your employer or the nearest office of the U.S. Department of Labor.
Q: Are there any deadlines for filing Form LS-203?
A: Yes, there are deadlines for filing Form LS-203. It must be filed within one year of the date of injury or last payment of compensation.
Form Details:
- Released on August 1, 2014;
- The latest available edition released by the U.S. Department of Labor - Office of Workers' Compensation Programs;
- Easy to use and ready to print;
- Yours to fill out and keep for your records;
- Compatible with most PDF-viewing applications;
- Fill out the form in our online filing application.
Download a fillable version of Form LS-203 by clicking the link below or browse more documents and templates provided by the U.S. Department of Labor - Office of Workers' Compensation Programs.
Download Form LS-203 Employee's Claim for Compensation
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