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Premiering Statement U.S. Department of Labor Alongshore and Harbor Workers Compensation Print Office of Workers Compensation Programs Reset OMB No. 12400036 Expire: 08/31/2017 This form will be used

How to fill out ls 18 longshore

How to fill out LS 18 Longshore:

1. Begin by gathering the necessary information: You will need to provide personal details such as your full name, address, contact information, and social security number. Additionally, you may need to include your employer's information, job title, and any relevant employment dates.
2. Identify the purpose of the LS 18 Longshore form: Determine if you are filing this form for an injury, illness, or death that occurred while working in a maritime industry covered by the Longshore and Harbor Workers' Compensation Act (LHWCA). Understanding the purpose will help you fill out the form correctly.
3. Provide accurate details about the incident or condition: Clearly explain the nature of the injury, illness, or death and the circumstances surrounding it. Include information about the date, time, and location of the incident, as well as any witnesses or supervisors present. Provide as much detail as possible to support your case.
4. Attach any relevant documentation: If available, include medical records, incident reports, witness statements, or any other supporting documents that can strengthen your claim. These documents will help establish the validity of your case and ensure that all information provided is accurate.
5. Review and double-check your form: Before submitting your LS 18 Longshore form, thoroughly review all the information you have provided. Check for any errors, missing details, or inconsistencies. It is crucial to ensure that the form is completed accurately to avoid delays or complications in processing your claim.

Who needs LS 18 Longshore?

1. Employees in the maritime industry: LS 18 Longshore form is designed for individuals who work in maritime occupations covered by the Longshore and Harbor Workers' Compensation Act (LHWCA). This includes employees engaged in shipbuilding, shipbreaking, harbor construction, longshore work, and other maritime-related activities.
2. Individuals injured or affected at work: If an employee sustains an injury, illness, or death while working in a covered maritime industry, they may need to fill out the LS 18 Longshore form. This form allows them to report and seek compensation for the workplace incident, cover medical expenses, and receive wage benefits during the recovery period.
3. Dependents or survivors of deceased workers: In the unfortunate event of a worker's death due to a workplace incident covered by the LHWCA, dependents or survivors may need to complete the LS 18 Longshore form. This allows them to claim death benefits, such as financial support for funeral expenses and ongoing financial assistance.

It is important to note that the LS 18 Longshore form and its requirements may vary based on individual circumstances and the jurisdiction in which the incident occurred. Consulting an attorney or contacting the appropriate authorities can provide additional guidance specific to your situation.

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What is ls 18 longshore?

LS-18 Longshore is a form used to report injuries and illnesses that occur in the course of employment covered by the Longshore and Harbor Workers' Compensation Act.

Who is required to file ls 18 longshore?

Employers or their insurance carriers are required to file LS-18 Longshore when an injury or illness occurs in the workplace.

How to fill out ls 18 longshore?

LS-18 Longshore can be filled out online or in paper form. It requires information about the injured employee, the nature of the injury or illness, and the circumstances surrounding it.

What is the purpose of ls 18 longshore?

The purpose of LS-18 Longshore is to provide information about workplace injuries and illnesses to the Department of Labor, and to ensure that employees receive the benefits they are entitled to under the Longshore and Harbor Workers' Compensation Act.

What information must be reported on ls 18 longshore?

Information such as the injured employee's name, date of birth, job title, date of injury, nature of injury, medical treatment received, and days of work missed must be reported on LS-18 Longshore.