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EMPLOYEE CERTIFICATE OF COMPLIANCE You must submit this form to your employer's workers' compensation insurer or to your employer within 14 days of its receipt. Your workers' compensation benefits

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What is ldol wc 1025ee?

ldol wc 1025ee is a form issued by the Louisiana Workforce Commission (LWCC) that is used to report work-related injuries and occupational diseases.

Who is required to file ldol wc 1025ee?

All employers in Louisiana are required to file ldol wc 1025ee if they have an employee who has experienced a work-related injury or occupational disease.

How to fill out ldol wc 1025ee?

To fill out ldol wc 1025ee, you need to provide detailed information about the injured employee, including their personal details, the nature of the injury or disease, and the medical treatment they received. The form must be completed accurately and submitted to the LWCC.

What is the purpose of ldol wc 1025ee?

The purpose of ldol wc 1025ee is to document and track work-related injuries and occupational diseases in Louisiana. It helps ensure that employees receive appropriate medical treatment and compensation for their workplace injuries or illnesses.

What information must be reported on ldol wc 1025ee?

ldol wc 1025ee requires the reporting of various information, including the employee's name, address, social security number, the date and location of the incident, a description of the injury or disease, medical treatment received, and any time lost from work.

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