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MAIL TO: LOUISIANA WORKERS COMPENSATION COVERAGE 2237 S. ACADIAN THRUWAY SUITE 102 BATON ROUGE, LA 70808 225-924-7788 Fire Department Name Employee Social Security Number Fire Department ID Number
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The LWCC Employer's Report is a form used by employers to report workplace injuries and illnesses to the Louisiana Workers' Compensation Corporation (LWCC).
All employers in the state of Louisiana who have employees covered by workers' compensation insurance through LWCC are required to file the LWCC Employer's Report.
To fill out the LWCC Employer's Report, you need to provide details about the injured or ill employee, the nature of the injury or illness, and the circumstances surrounding the incident. The form can be completed online or on paper, and it must be submitted to LWCC within the specified deadline.
The purpose of the LWCC Employer's Report is to track and document workplace injuries and illnesses for the purpose of workers' compensation claims and insurance coverage. It helps LWCC assess risks and provide appropriate benefits to injured employees.
The LWCC Employer's Report requires information such as the employee's name, job title, date of birth, date of injury or illness, description of the incident, medical treatment received, and any witnesses or other relevant details.
The deadline to file the LWCC Employer's Report in 2023 is typically within 10 days of the injury or onset of illness. However, it is recommended to check the specific deadline with LWCC or refer to the official guidelines.
The penalties for the late filing of the LWCC Employer's Report may vary depending on the specific circumstances and the discretion of LWCC. It is advisable to comply with the filing deadline to avoid any potential penalties or complications.
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