The Louisiana P and I Form (or "Proof of Injury" form) is a document submitted with each request for reimbursement from the Louisiana Second Injury Board. This form serves to provide evidence that an employee has suffered a job-related injury or illness, and is completed by the injured worker and their doctor. The form includes sections for the injured worker to provide information regarding their medical history, the nature of the injury or illness, the date of the injury or illness, and the expected length of recovery. It also includes sections for the doctor to certify that the injury or illness is related to the worker's job, and to provide any additional comments or information regarding the injury or illness. The Louisiana P and I Form is an important document for all workers in Louisiana, as it is required for any reimbursement requests from the Second Injury Board. There are two types of Louisiana P and I Form: the original form which is submitted with the initial request for reimbursement, and the supplemental form which is submitted with any additional requests for reimbursement.