PDF
Word
Form LS-426 Request for Earnings Information
What Is Form LS-426?
This is a legal form that was released by the U.S. Department of Labor - Office of Workers' Compensation Programs on March 1, 2012 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-426?A: Form LS-426 is a Request for Earnings Information form.
Q: Who can use Form LS-426?A: Form LS-426 can be used by individuals and organizations to request earnings information.
Q: What information can be requested with Form LS-426?A: Form LS-426 can be used to request earnings information such as salary, wages, tips, commissions, and bonuses.
Q: Do I need to provide any supporting documents with Form LS-426?A: No, you do not need to provide any supporting documents with Form LS-426.
Q: How long does it take to process Form LS-426?A: Processing times for Form LS-426 may vary, but it generally takes around 10 business days.
Q: Is there a fee to submit Form LS-426?A: No, there is no fee to submit Form LS-426.
Form Details:
- Released on March 1, 2012;
- 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-426 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-426 Request for Earnings Information
1
2
