Get Dol Ls-208 2011
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How to fill out the DoL LS-208 online
The DoL LS-208 form is essential for reporting final payment or suspension of compensation payments under the Office of Workers' Compensation Programs. This guide provides a detailed walkthrough for completing the form online, ensuring that you fill it out accurately and efficiently.
Follow the steps to complete the DoL LS-208 form online.
- Press the ‘Get Form’ button to access the LS-208 form and open it for editing.
- Enter the OWCP number in the designated field at the top of the form.
- Provide the insurance carrier's number and the address of the OWCP District Office where you will submit the form.
- Fill in the name and address of the employee or other beneficiary, ensuring to type or print clearly.
- Complete the section for the employer's name and address.
- Clearly indicate the date of injury and the date the employee first lost pay due to the injury.
- Fill in the date the employee returned to work and the date the physician cleared them for that return.
- Provide details of compensation payments, including the date of the first compensation payment and whether it was paid at the maximum rate.
- If applicable, describe the reason for termination or suspension of payments.
- Complete the payment summary sections for both disability and death, detailing amounts and payment periods.
- Ensure to list any other relevant payments, such as attorney fees or funeral expenses, in their respective sections.
- Review the entire form for accuracy. Save changes, download, print, or share the completed form as needed.
Begin the process of filling out your documents online today!
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The Longshore and Harbor Workers' Compensation Act provides federal benefits to employees who are injured while working on navigable waters or in adjacent areas. This act ensures that maritime workers receive medical care, wage loss compensation, and rehabilitation services. It serves as a protective measure, giving workers the assurance they need, while forms like DoL LS-208 help navigate the claims process efficiently.
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