| Name |
Description |
Price |
Buy Now
|
| Employee’s Key Steps |
Key Steps.EE – Answers to the injured worker’s most frequently asked questions and concerns relating to Louisiana’s workers’ compensation entitlement and procedures. |
$27.99 |
|
| Employer’s Key Steps |
Key Steps.ER – Answers to the employer’s most frequently asked questions and concerns relating to Louisiana’s workers’ compensation entitlement and procedures. |
$27.99 |
|
| Annual Report of Workers’ Compensation Costs |
LWC-WC 1000 – This Workers’ Compensation page provides an annual report of Workers’ Compensation costs. |
$27.99 |
|
| Notice Of Payment – Form 1002 |
LWC-WC 1002 – Form to be completed by the Employer/Insurer and sent to the injured employee. |
$27.99 |
|
| Stop Payment – Form 1003 |
LWC-WC 1003 – Form is sent by the Employer/Insurer to the injured workers and OWCA. |
$27.99 |
|
| Request for Social Security Benefits Information |
LWC-WC 1004 – Form used to gather information from the Social Security Administration and to calculate the amount of any offset (Workers’ compensation) |
$27.99 |
|
| Motion for Recognition of Right to Soc. Sec. Offset – Form 1005a |
LWC-WC 1005A – Form used by the employer/insurer to request recognition of right to take an offset for social security benefits (Workers’ compensation) |
$27.99 |
|
| Order Recognizing Right to Soc. Sec. Offset – Form 1005b |
LWC-WC 1005B – Order signed by the workers’ compensation judge recognizing entitlement to a social security offset |
$27.99 |
|
| Subpoena & Subpoena Duces Tecum – Form 1006 |
LWC-WC 1006 – Series of forms issued to compel an individual to appear for a deposition or to give testimony, or to produce documentation (Workers’ compensation) |
$27.99 |
|
| Employer’s Report of Injury/Illness LWC-WC- 1007 |
LWC-WC 1007 – This form requires employers to complete the OWCA Form 1007 for Injury & Illness and forward this form to their workers’ compensation insurance carrier or self- insured fund. In turn, the insurance carrier, self-insured fund or self-insured employer is now obligated to forward the form to the OWCA. |
$27.99 |
|
| Disputed Claim for Compensation – Form 1008 |
LWC-WC 1008 – Form to be filed with the Workers’ Compensation district office when there is any disputed issue in a claim |
$27.99 |
|
| Disputed Claim for Medical Treatment – Form 1009 |
LWC-WC 1009 – Form to be filed with the Workers’ Compensation Medical Services Director when there is a Disputed Claim for Medical Treatment. |
$27.99 |
|
| Request for Compromise or Lump Sum Settlement |
LWC-WC 1011 – Form filed with OWCA to request the review and approval of a compromise or lump sum settlement agreement |
$27.99 |
|
| Request for Independent Medical Exam – Form 1015 |
LWC-WC 1015 – Form to be completed by party requesting an Independent Medical Examination (IME) |
$27.99 |
|
| Quarterly Report of Injury/Illness |
LWC-WC 1017A – Quarterly Report of Injury/Illness |
$27.99 |
|
| Glossary of Terms for Form 1017a |
LWC-WC 1017A – Glossary – Glossary of terms used when completing form LWC-WC 1017A |
$27.99 |
|
| Employee’s Monthly Report of Earnings – Form 1020 |
LWC-WC 1020 – Form filed monthly with the employer’s insurer by the injured worker to report any earnings (Workers’ compensation) |
$27.99 |
|
| REPORTE MENSUAL DE GANANCIAS DEL EMPLEADO |
LWC-WC 1020 (en Español) – REPORTE MENSUAL DE GANANCIAS DEL EMPLEADO |
$27.99 |
|
| Cost Containment Application |
LWC-WC 1021 – Employer’s application for participation in the cost containment program (Workers’ compensation) |
$27.99 |
|
| CERTIFICADO DE CONFORMIDAD DEL TRABAJADOR |
LWC-WC 1025 (en Español) – CERTIFICADO DE CONFORMIDAD DEL TRABAJADOR |
$27.99 |
|
| Employee’s Certificate of Compliance – Form 1025ee |
LWC-WC 1025.EE – Form filed by injured workers explaining rights and responsibilities while receiving workers’ compensation benefits and penalties for failure to comply |
$27.99 |
|
| Employer’s Certificate of Compliance – Form 1025er |
LWC-WC 1025.ER – Form filed by the employer explaining the employer’s rights and responsibilities to provide workers’ compensation benefits as well as penalties for failure to comply |
$27.99 |
|
| Employee’s Quarterly Report of Earnings – Form 1026 |
LWC-WC 1026 – Form filed quarterly by the injured worker with their employer or insurer to report any earnings (Workers’ compensation) |
$27.99 |
|
| Request for Waiver of Payment of Advance Costs |
LWC-WC 1027 – Form used to determine whether the financial status of an injured worker warrants the waiver of payment of any advanced costs when filing claims (Workers’ compensation) |
$27.99 |
|
| Physician Choice Form |
LWC-WC 1121 – Form to be completed by the injured worker when selecting their physician of choice |
$27.99 |
|
| Self-Insurer Application |
LWC-WC 2005 – Application form to be completed by employers wishing to become a self-insured entity (Workers’ compensation) |
$27.99 |
|
| Self-Insurer Application Checklist |
LWC-WC 2005 – Checklist – List of items necessary when submitting application to become self-insured (Workers’ compensation) |
$27.99 |
|
| Service Company Application |
LWC-WC 2007 – Application filed by companies requesting to operate as third party administrators in the state of Louisiana (Workers’ compensation) |
$27.99 |
|
| Service Company Application Checklist |
LWC-WC 2007 – Checklist – Checklist of items necessary when submitting an application in order to process workers’ compensation claims in Louisiana |
$27.99 |
|
| Special Reimbursement Reconsideration Appeal Form |
LWC-WC 3000 – Form to be completed by medical provider when requesting reimbursement reconsideration appeal |
$27.99 |
|
| Employee’s Key Steps |
OSHA – 300 Log – Answers to the injured worker’s most frequently asked questions and concerns relating to Louisiana’s workers’ compensation entitlement and pocedures |
$27.99 |
|
| Notice of Claim with Second Injury Fund |
SIB Form A – Form to be completed and submitted by the insurer, self-insured employer, or third party administrator, along with documentation listed on the form with each new claim filed |
$27.99 |
|
| P & I Form |
SIB Form B – Form submitted with each request for reimbursement from the Second Injury Board |
$27.99 |
|
| Fraud Forms |
Fraud Forms |
Fraud Forms |
Fraud Forms
|
| Adjuster’s Guide to Fighting Workers’ Compensation Fraud |
A training guide for adjusters in the fight against workers’ compensation fraud |
$27.99 |
|
| Employer’s Guide to Fighting Workers’ Compensation Fraud |
A training guide for employers in the fight against workers’ compensation fraud |
$27.99 |
|
| Fraud Rules |
Title 40, Chapter 19 Rules. Outlines the guidelines required for compliance with the Workers’ Compensation Act. |
$27.99 |
|
| Warning Signs of Workers’ Compensation Fraud |
Outlines signs of Workers’ Compensation Fraud |
$27.99 |
|
| Workers’ Compensation Fraud Poster |
Poster available to promote the nation-wide toll free fraud hotline for reporting workers’ compensation fraud |
$27.99 |
|
| Medical Services |
Medical Services |
Medical Services |
Medical Services
|
| CPT Codes – 2000 Update |
Updated CPT for 2000 |
$27.99 |
|
| Rehabilitation Services |
Louisiana Maximum Fee Schedule, Chapter 7. Rehabilitation Services. Establishes guidelines for the rehabilitation of occupationally disabled employees |
$27.99 |
|
| Special Reimbursement Reconsideration Appeal Form |
LWC-WC 3000 – Form to be completed by medical provider when requesting reimbursement reconsideration appeal |
$27.99 |
|
| Record Management |
|
Record Management |
Record Management
|
| An Overview of OWCA Section’s Activity |
An Overview of OWCA Section’s Activity |
$27.99 |
|
| Body Parts Diagram |
Body Parts Diagram |
$27.99 |
|
| Employee’s Key Steps |
Key Steps.EE – Answers to the injured worker’s most frequently asked questions and concerns relating to Louisiana’s workers’ compensation entitlement and pocedures. |
$27.99 |
|
| Employer’s Key Steps |
Key Steps.ER – Answers to the employer’s most frequently asked questions and concerns relating to Louisiana’s workers’ compensation entitlement and procedures. |
$27.99 |
|
| Employer’s Report of Injury/Illness LWC-WC- 1007 |
LWC-WC 1007 – This form requires employers to complete the OWCA Form 1007 for Injury & Illness and forward this form to their workers’ compensation insurance carrier or self- insured fund. In turn, the insurance carrier, self-insured fund or self-insured employer is now obligated to forward the form to the OWCA. |
$27.99 |
|
| OWCA Annual Reports Menu |
This Workers’ Compensation page provides annual statistics including reports and supplements. |
$27.99 |
|
| Second Injury Board |
Second Injury Board |
Second Injury Board |
Second Injury Board
|
| Electronic Funds Transfer Enrollment Form |
Electronic Funds Transfer Enrollment Form |
|
|
| Notice of Claim with Second Injury Fund |
SIB Form A – Form to be completed and submitted by the insurer, self-insured employer, or third party administrator, along with documentation listed on the form with each new claim filed |
|
|
| P & I Form |
SIB Form B – Form submitted with each request for reimbursement from the Second Injury Board |
$27.99 |
|
| Second Injury Board Mtg. Agenda |
Agenda for the Second Injury Board that meets the first Thursday of every month |
$27.99 |
|
| Second Injury Fund |
SIF Brochure – Rules of Practice and Procedures |
$27.99 |
|
| Second Injury Fund |
SIF Brochure – Brochure explaining the basic operation of the Second Injury Board |
$27.99 |
|
| Settlement Evaluation |
Form submitted to the Second Injury Board for approval of a settlement on a claimant who is receiving supplemental earnings benefits |
$27.99 |
|
| Settlement Evaluation – Permanent and Total |
Form submitted to the Second Injury Board for approval of a settlement on a claimant who has been declared permanently and totally disabled |
$27.99 |
|
| Workplace Safety |
Workplace Safety |
Workplace Safety |
Workplace Safety
|
| Directory of Safety Services |
Directory of Safety Services – Revised October 2009 |
$27.99 |
|
| Directory of Safety Services – Consultants – Applications |
Application for Directory of Safety Services |
$27.99 |
|
| Quarterly Report of Injury/Illness |
LWC-WC 1017A – Quarterly Report of Injury/Illness |
$27.99 |
|
| Safety Requirements |
Guidelines for implementing a working and occupational safety plan |
$27.99 |
|
| Miscellaneous |
Miscellaneous |
Miscellaneous |
Miscellaneous
|
| Admitted Workers’ Compensation Insurers |
Admitted Workers’ Compensation Insurers |
$27.99 |
|
| Annual Report of Workers’ Compensation Costs |
LWC-WC 1000 – This Workers’ Compensation page provides an annual report of Workers’ Compensation costs. |
$27.99 |
|
| Authorized Group Self-Insurance Company Listing |
Authorized Group Self-Insurance Company Listing |
$27.99 |
|
| Authorized Third Party Administrators |
Authorized Third Party Administrators |
$27.99 |
|
| Average Weekly Wage Computation |
Instructions for computing an employee’s average weekly wage (Workers’ compensation) |
$27.99 |
|
| CERTIFICADO DE CONFORMIDAD DEL TRABAJADOR |
LWC-WC 1025 (en Español) – CERTIFICADO DE CONFORMIDAD DEL TRABAJADOR |
$27.99 |
|
| Circuit Courts of Appeal |
Circuit Courts of Appeal |
$27.99 |
|
| Cost Containment Application |
LWC-WC 1021 – Employer’s application for participation in the cost containment program (Workers’ compensation) |
$27.99 |
|
| Cost Containment Rules |
Guidelines to establish and implement effective injury control measures (Workers’ compensation) |
$27.99 |
|
| Disputed Claim for Compensation – Form 1008 |
LWC-WC 1008 – Form to be filed with the Workers’ Compensation district office when there is any disputed issue in a claim |
$27.99 |
|
| Disputed Claim for Medical Treatment – Form 1009 |
LWC-WC 1009 – Form to be filed with the Workers’ Compensation Medical Services Director when there is a Disputed Claim for Medical Treatment. |
$27.99 |
|
| Drug Testing Programs in Job Accident Cases |
Title 40. Chapter 15. Drug Testing Programs in Job Accident Cases. Guidelines for accident-related drug testing (Workers’ compensation) |
$27.99 |
|
| Employee’s Certificate of Compliance – Form 1025ee |
LWC-WC 1025.EE – Form filed by injured workers explaining rights and responsibilities while receiving workers’ compensation benefits and penalties for failure to comply |
$27.99 |
|
| Employee’s Key Steps |
OSHA – 300 Log – Answers to the injured worker’s most frequently asked questions and concerns relating to Louisiana’s workers’ compensation entitlement and pocedures |
$27.99 |
|
| Employee’s Monthly Report of Earnings – Form 1020 |
LWC-WC 1020 – Form filed monthly with the employer’s insurer by the injured worker to report any earnings (Workers’ compensation) |
$27.99 |
|
| Employee’s Quarterly Report of Earnings – Form 1026 |
LWC-WC 1026 – Form filed quarterly by the injured worker with their employer or insurer to report any earnings (Workers’ compensation) |
$27.99 |
|
| Employer’s Certificate of Compliance – Form 1025er |
LWC-WC 1025.ER – Form filed by the employer explaining the employer’s rights and responsibilities to provide workers’ compensation benefits as well as penalties for failure to comply |
$27.99 |
|
| Exempt Businesses |
Companies exempt from 300 log |
$27.99 |
|
| Exemptions From Coverage |
Exemptions From Coverage |
$27.99 |
|
| Fiscal Responsibility |
Guidelines for employers and insurers providing workers’ compensation insurance coverage in Louisiana |
$27.99 |
|
| FORM LWC-WC 1017 Exemptions by North American Industry Classification System (NAICS) Codes |
FORM LWC-WC 1017 Exemptions by North American Industry Classification System (NAICS) Codes |
$27.99 |
|
| General Provisions |
Title 40. Chapter 1. General Provisions. Defines the responsibilities and rights of the employee, employer, and the carrier in the administration of workers’ compensation in Louisiana. |
$27.99 |
|
| Glossary of Terms for Form 1017a |
LWC-WC 1017A – Glossary – Glossary of terms used when completing form LWC-WC 1017A |
$27.99 |
|
| Hearing Offices Contact Information |
Hearing Offices Contact Information |
$27.99 |
|
| Hearing Rules |
Office of Workers Compensation – Court Hearing Procedures (LAC 40:I.Chapters 55-66). |
$27.99 |
|
| How’s Business? |
WAFB Channel 9 Interview with Sonny Mills 4/27/2005 |
$27.99 |
|
| Interpreter/ADA Accommodations |
Form to request for a language interpreter or deaf/hearing impaired assistance in Workers’ Compensation Court |
$27.99 |
|
| Letter of Credit |
Irrevocable Letter of Credit |
$27.99 |
|
| Motion for Recognition of Right to Soc. Sec. Offset – Form 1005a |
LWC-WC 1005A – Form used by the employer/insurer to request recognition of right to take an offset for social security benefits (Workers’ compensation) |
$27.99 |
|
| Notice Of Payment – Form 1002 |
LWC-WC 1002 – Form to be completed by the Employer/Insurer and sent to the injured employee. |
$27.99 |
|
| Order Recognizing Right to Soc. Sec. Offset – Form 1005b |
LWC-WC 1005B – Order signed by the workers’ compensation judge recognizing entitlement to a social security offset |
$27.99 |
|
| OSHA Forms |
OSHA Form 300, OSHA Form 300A, OSHA Form 301 |
$27.99 |
|
| OWC District Boundaries |
OWC District Boundaries |
$27.99 |
|
| Parish Codes for Louisiana |
Listing of codes assigned to each parish |
$27.99 |
|
| Physician Choice Form |
LWC-WC 1121 – Form to be completed by the injured worker when selecting their physician of choice |
$27.99 |
|
| REPORTE MENSUAL DE GANANCIAS DEL EMPLEADO |
LWC-WC 1020 (en Español) – REPORTE MENSUAL DE GANANCIAS DEL EMPLEADO |
$27.99 |
|
| Request for Compromise or Lump Sum Settlement |
LWC-WC 1011 – Form filed with OWCA to request the review and approval of a compromise or lump sum settlement agreement |
$27.99 |
|
| Request for Independent Medical Exam – Form 1015 |
LWC-WC 1015 – Form to be completed by party requesting an Independent Medical Examination (IME) |
$27.99 |
|
| Request for Social Security Benefits Information |
LWC-WC 1004 – Form used to gather information from the Social Security Administration and to calculate the amount of any offset (Workers’ compensation) |
$27.99 |
|
| Request for Waiver of Payment of Advance Costs |
LWC-WC 1027 – Form used to determine whether the financial status of an injured worker warrants the waiver of payment of any advanced costs when filing claims (Workers’ compensation) |
$27.99 |
|
| Security Agreement for Certificate of Deposit |
Documentation outlining conditions and containing required forms. |
$27.99 |
|
| Self-Insurer Application |
LWC-WC 2005 – Application form to be completed by employers wishing to become a self-insured entity (Workers’ compensation) |
$27.99 |
|
| Self-Insurer Application Checklist |
LWC-WC 2005 – Checklist – List of items necessary when submitting application to become self-insured (Workers’ compensation) |
$27.99 |
|
| Service Company Application |
LWC-WC 2007 – Application filed by companies requesting to operate as third party administrators in the state of Louisiana (Workers’ compensation) |
$27.99 |
|
| Service Company Application Checklist |
LWC-WC 2007 – Checklist – Checklist of items necessary when submitting an application in order to process workers’ compensation claims in Louisiana |
$27.99 |
|
| State of Louisiana Indemnity & Guaranty Agreement |
Legal document necessary to guarantee the self-insured’s obligation to pay indemnity benefits (Workers’ compensation) |
$27.99 |
|
| Stop Payment – Form 1003 |
LWC-WC 1003 – Form is sent by the Employer/Insurer to the injured workers and OWCA. |
$27.99 |
|
| Subpoena & Subpoena Duces Tecum – Form 1006 |
LWC-WC 1006 – Series of forms issued to compel an individual to appear for a deposition or to give testimony, or to produce documentation (Workers’ compensation) |
$27.99 |
|
| Surety Bond |
Legal document necessary when making application to become self-insured (Workers’ compensation) |
$27.99 |
|
| What is Workers’ Compensation Fraud |
Defines Workers’ Compensation Fraud |
$27.99 |
|
