La. Admin. Code tit. 40 § I-1103

Current through Register Vol. 50, No. 11, November 20, 2024
Section I-1103 - Forms; Preparation and Adoption; Use
A. The Office of Workers' Compensation shall prepare and adopt such forms for use in workers' compensation cost containment as it may deem necessary and advisable. Whenever the Office of Workers' Compensation's forms are prescribed and are applicable, they shall be used. A photo ready copy of any form may be procured upon request to the office.
B. The following forms have been adopted by the Office of Workers' Compensation Administration for use in implementation of the Workers' Compensation Cost Containment Act.

FORMS

LDOL-WC-Form No. 1021

Application for Attendance at Cost Containment Meeting

LDOL-WC-Form No. 1022

Certificate of Attendance

LDOL-WC-Form No. 1023

Application for Implementation of Occupational Safety and Health Program

LDOL-WC-Form No. 1024

Certificate of Satisfactory Implementation of Occupation Safety and Health Program

La. Admin. Code tit. 40, § I-1103

Promulgated by the Department of Labor, Office of Workers' Compensation Administration, LR 19:896 (July 1993).
AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1178.