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1. 2. 3. 4. 5. RETURN TO: OFFICE OF WORKERS' COMPENSATION POST OFFICE BOX 94040 BATON ROUGE, LA 70804-9040 (225) 342-7565 TOLL FREE (800) 201-3457 Social Security No. Date of Injury/Illness Part(s)
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Employers who are required to report workplace injuries or illnesses to the appropriate authorities may need to use the draft ldol wc 1011 form. This form helps gather and document the necessary information for reporting purposes.
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Draft ldol wc 1011 is a form used to report work-related injuries and illnesses to the Louisiana Workforce Commission.
Employers in Louisiana are required to file draft ldol wc 1011.
Draft ldol wc 1011 can be filled out online through the Louisiana Workforce Commission's website.
The purpose of draft ldol wc 1011 is to track work-related injuries and illnesses in Louisiana.
Information such as the date of the injury or illness, the nature of the injury or illness, and the name of the employee must be reported on draft ldol wc 1011.
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