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Louisiana Form Center


Welcome to the most extensive library of workers' compensation forms available anywhere. Almost 3,000 forms are available for your immediate download and use. Our forms, all of which have been custom programmed by WorkersCompensation.com for Type & Save functionality, are available for individual purchase below.

Try a Forms Membership! If you have an ongoing need for multiple forms, and want complete and unrestricted access to our entire 3,000 "Type & Save" Forms Library, you may register for immediate access here. Annual subscribers to this service get the benefit of our forms updating system, making sure the forms they use are the most current available.

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(1000form) Annual Report of Workers' Compensation Costs - 4/00
(1002form) Notice of Payment - 7/08
(1003form) Stop Payment - 7/08
(1004form) Request for Social Security Benefits Information - 7/08
(1005a) Motion for Recognition of Right to Social Security Offset - 5/08
(1005b) Order Recognizing Right to Social Security Offset - 5/08
(1006form) Subpoena for Deposition N/D - N/D
(1007form) Employer Report of Injury/Illness - 7/08
(1008form) Disputed Claim for Compensation - 2/09
(1011form) Request for Compromise of Lump Sum Settlement - 7/08
(1015form) Request for Independent Medical Exam - 7/08
(1017aglo) Glossary of Terms - N/D
(1020form) Employee Monthly Report of Earnings - 7/08
(1020form sp) Reporte Mensual De Ganancias Del Empleado
(1021form) Cost Containment Application - 2/04
(1025ee) Employee Certificate of Compliance - 12/00
(1025er) Employer Certificate of Compliance - 1/02
(1025form sp) Certificado De Conformidad Del Trabajador - N/D
(1026form) Employee's Quarterly Report of Earnings - 7/08
(1121form) Right to Choose Your Own Doctor - N/D
(2005form) Self-Insurer Application - N/D
(2005check) Self-Insurer Application Checklist - N/D
(form3000) Special Reimbursement Consideration Appeal - N/D
(sibforma) Notice of Claim with Second Injury Fund - N/D
(piform) P & I Form - 1/09
(settlementevaluation) Settlement Evaluation - N/D
(settlementevaluationPT) Settlement Evaluation-Permanent and Total - N/D
(certificateofdeposit) Security Agreement For Certificate Of Deposit - 12/07
(IGA) Indemnity And Guaranty Agreement - N/D
(OWCAInterpreter) Interpreter/Ada Accomodations - N/D
(RWAC) Request for Waiver of Advance Costs - 1/98
(sca) Service Company Application - N/D
(sca checklist) Service Company Application Checklist - N/D
(SIB-EFT) Electronic Funds Transfer Enrollment Form
(suretybond) Surety Bond - 7/08
(groupselfinsure) Authorized Group Self-Insurance Company Listing - 7/09
(insurancecompanies) Authorized Insurance Companies - 7/09
(OWCAinterpreter) Interpreter/Ada Accomodations - 8/09