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LWC FORM 1010A - FIRST REQUEST PLEASE PRINT OR TYPE SECTION 1. IDENTIFYING INFORMATION P Last Name A T I E Employers Name N First Middle Social Security Number Claim Number if known SECTION 2.

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Call Toll Free: 800-519-7787. Our toll-free, 24-hour Claims Reporting Hotline puts you in touch with a friendly claims service professional who will take your information, handle the administrative paperwork, and process the claim for you.

Q: What does LWCA mean- on slide describing eligibility of cooperatives? A: Entities incorporated as a Limited Workers Cooperative Association (LWCA) are eligible to apply.

Make a payment online If you need assistance please email us at billing.request@lwcc.com or call 800-519-7787 and select option “1.” We are experiencing higher than usual call volume, which may result in longer wait times. We apologize for the inconvenience and appreciate your patience.

A survey revealed the average settlement comes in between $20,000 and $25,000 for workers' comp back injury claims.

LWCC | Louisiana Workers' Compensation Corporation.

LWCC | Louisiana Workers' Compensation Corporation.

Permanent disability is also calculated based on the temporary disability rate and the Statewide Average Weekly Wage. The maximum payout for permanent disability is $290 weekly, while the minimum is $160. These benefits are paid for life if you qualify.

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© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232
Form Packages
Adoption
Bankruptcy
Contractors
Divorce
Home Sales
Employment
Identity Theft
Incorporation
Landlord Tenant
Living Trust
Name Change
Personal Planning
Small Business
Wills & Estates
Packages A-Z
Form Categories
Affidavits
Bankruptcy
Bill of Sale
Corporate - LLC
Divorce
Employment
Identity Theft
Internet Technology
Landlord Tenant
Living Wills
Name Change
Power of Attorney
Real Estate
Small Estates
Wills
All Forms
Forms A-Z
Form Library
Customer Service
Terms of Service
DMCA Policy
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
All Forms
Search all Forms
Industries
Forms in Spanish
Localized Forms
Legal Guides
Real Estate Handbook
All Guides
Prepared for You
Notarize
Incorporation services
Our Customers
For Consumers
For Small Business
For Attorneys
Our Sites
US Legal Forms
USLegal
FormsPass
pdfFiller
signNow
airSlate workflows
DocHub
Instapage
Social Media
Call us now toll free:
1-877-389-0141
As seen in:
  • USA Today logo picture
  • CBC News logo picture
  • LA Times logo picture
  • The Washington Post logo picture
  • AP logo picture
  • Forbes logo picture
© Copyright 1997-2025
airSlate Legal Forms, Inc.
3720 Flowood Dr, Flowood, Mississippi 39232