 
                Get Dol Ls-208 2015
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How to fill out the DoL LS-208 online
Welcome to the guide on filling out the DoL LS-208 form online. This document, known as the Notice of Final Payment or Suspension of Compensation Payments, is crucial for reporting changes in compensation payment status. This guide will provide clear, step-by-step instructions to assist you in completing the form accurately.
Follow the steps to complete the DoL LS-208 form online effectively.
- Press the ‘Get Form’ button to access the LS-208 form. The form will appear in your preferred online editor for completion.
- Begin with section 1, where you will enter the OWCP number. This number is essential for tracking your compensation claim.
- In section 2, provide the Carrier's number, which helps identify the insurance provider handling your case.
- For section 3, in field 3a, enter the address of the U.S. Department of Labor's Office of Workers' Compensation Programs. Ensure the details are accurate, including the suite number and city.
- In section 4, fill out the name of the employer for whom the report is being filed.
- Next, complete sections 5, 6, and 7, providing the address of the employer, the date of injury, and the date the employee first lost pay due to the injury.
- In sections 9 and 10, indicate when the employee returned to work and whether the compensation was paid at the maximum rate. Be sure to calculate the compensation rate, if applicable.
- Section 11 requires a clear statement of the reasons for termination or suspension of payments.
- Fill in the dates for the last payment made and the date of this notice in sections 12 and 13.
- Specify the type of disability in section 14, ensuring to check all applicable options for temporary, permanent, partial disabilities.
- Enter all payments made on account of disability in section 15, providing accurate dates, amounts, and weekly rates. Include additional sheets if necessary.
- For other payments related to disability, fill out section 16, detailing any settlements or expenses incurred.
- Add the name and address of the insurance carrier or self-insured employer in section 17, and ensure to complete the signature part in section 18.
- After completing all sections, review the form for accuracy, then save your changes, download, print, or share the completed form as needed.
Complete your DoL LS-208 form online to ensure timely processing of your compensation claims.
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The Longshore and Harbor Workers' Compensation Act covers a broad range of maritime workers, including dockworkers, longshoremen, and ship repair workers. Eligible workers must perform their duties on navigable waters or in adjoining areas. Familiarity with the DoL LS-208 can empower individuals to check their eligibility and secure necessary benefits.
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