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Application for Security Deposit Determination Print Reset U.S. Department of Labor Office of Workers Compensation Programs OMB Form No. 12400005 Exp Date: 10/31/2016 An insurance carrier authorized
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DOL-ESA forms LS-276 is a form used by employers to report information on work-related injuries and illnesses.
Employers with more than 10 employees are required to file DOL-ESA forms LS-276.
DOL-ESA forms LS-276 can be filled out electronically or manually by providing information on work-related injuries and illnesses.
The purpose of DOL-ESA forms LS-276 is to track and monitor work-related injuries and illnesses in the workplace.
Information such as the type of injury or illness, the date it occurred, and the employee involved must be reported on DOL-ESA forms LS-276.
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