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Get DoL LS-210 2020-2024

Th the District Director in every case in which (1) Form LS-202 OMB No. 1240-0003 does not show date injured employee returned to work, and (2) each time injured employee has returned to Expires: 2/29/2024 work and later becomes disabled for work (33 U.S.C.930(b) if the information is not already reported via Form LS-208. If the employee was disabled for work more than 3 days, compensation payments should be reported 1. OWCP No. on Form LS-208. Medical reports must be sent to the District Direct.

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