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Get DoL LS-202 1998

38. Official Title of Person Signing This Report 37. Signature of Person Authorized to Sign for Employer 39. Date of This Report Form LS-202 Rev. Oct. 1998 This report is to be filed in duplicate with the District Director in the appropriate district office of the Office of Workers' Compensation Programs and is required by 33 U.S.C. 930 (a). File form within 10 days from the date of injur or death or from the date the employer first has knowledge of an injury or death. Under the law all medic.

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