La. Admin. Code tit. 40 § I-6651

Current through Register Vol. 50, No. 6, June 20, 2024

Section I-6651 - Request for Compromise and Lump Sum Settlement; Form LDOL-WC-1011

Click here to view image

NOTE: *Note from the Office of the State Register: The backside of Form LDOL-WC-1011, Request for Compromise or Lump Sum Settlement, was not included on the disk. This form will need to be scanned or obtained from the agency.

La. Admin. Code tit. 40, § I-6651

Promulgated by the Department of Labor, Office of Workers' Compensation Administration, LR 25:299 (February 1999).

AUTHORITY NOTE: Promulgated in accordance with R.S. 23:1310.1.