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  • Dol Ls-208 2021

Get Dol Ls-208 2021-2025

Please be sure to include the OWCP Case Number. For further instructions please see the reverse side of this form. Form LS-208 Rev. May 2015 A claim may be filed within one year after the injury or death 33 U.S.C. Notice of Final Payment or Suspension of Compensation Payments Print U*S* Department of Labor Office of Workers Compensation Programs Reset INSTRUCTIONS This notice must be filed with the District Director at the address in 3 a within 16 days after compensation has been stopped or suspended* A copy of the completed form must be mailed to the claimant and the claimant s representative. Use of this form is mandatory. Failure to timely file this form shall result in assessment of a penalty as outlined in 20 CFR 702. 236. This form is to be used to report disability or death compensation payments as well as other statutory payments. The information will be used to verify the sufficiency of compensation paid under the Act. 3. Name and address of Employee or other beneficiary Type ....

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Related content

U.S. Department of Labor - Office of Workers'...
May 26, 2015 ... Compensation) and LS-208 (Notice of Final Payment or Suspension of...
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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
Content Takedown Policy
Bug Bounty Program
About Us
Blog
Affiliates
Contact Us
Privacy Notice
Delete My Account
Site Map
Industries
Forms in Spanish
Localized Forms
State-specific Forms
Forms Kit
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:
+1 833 426 79 33
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