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Este formulario se utiliza para reportar la apertura o cierre de minas en Missouri, así como cambios en el nombre o propietario de la mina.
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How to fill out LS-66

01
Obtain the LS-66 form from the appropriate source.
02
Fill in the claimant's personal information, including name, address, and contact details.
03
Provide the date of injury in the specified section.
04
Indicate the employer's information, including name and address.
05
Complete the description of the injury or illness, being as detailed as possible.
06
Include the names and contact information of any witnesses, if applicable.
07
Review the completed form for accuracy and completeness.
08
Submit the LS-66 form to the appropriate office or agency.

Who needs LS-66?

01
Individuals who have suffered a work-related injury or illness covered under the Longshore and Harbor Workers' Compensation Act (LHWCA).
02
Claimants seeking compensation benefits for their injuries or illnesses.
03
Employers who need to process claims related to employee injuries under this act.
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LS-66 is a form used to report labor and wage information for employees in certain industries, specifically for payroll and tax purposes.
Employers in specific industries that have employees earning wages subject to reporting obligations are required to file LS-66.
To fill out LS-66, employers need to provide accurate details about employee wages, hours worked, and other relevant payroll information as specified in the form's instructions.
The purpose of LS-66 is to ensure compliance with labor laws and tax regulations by providing a standardized format for reporting employee wages and hours.
Information that must be reported on LS-66 includes employee names, social security numbers, total wages, hours worked, and any deductions or contributions.
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