Mileage & Medical Transportation Reimbursement Form

Minimum and Maximum Wage Benefit Rates

LDOL Form 1003 - Stop Payment Form

LDOL Form 1004 - Request for Social Security Benefits Information

LDOL Form 1006 - Subpoena & Subpoena Duces Tecum

LDOL Form 1007 - Employers Report of Injury or Illness

LDOL Form 1008 - Disputed Claim for Compensation

LDOL Form 1011 - Request for Compromise or Lumpsum Settlement

LDOL Form 1015 - Request for Independent Medical Examination

LDOL Form 1020 - Employees Monthly Report of Earnings

LDOL Form 1025 - Employees Certificate of Compliance

LDOL Form 1026 - Employees Report of Quarterly Earnings

LDOL Form 1027 - Request for Waiver of Advance Costs

LDOL Form 1121 - Selection of Physician Form