U.S. Department of Labor Forms

This document is used for providing information about COBRA continuation coverage and how to elect it.

This document is used for reporting workplace injuries to OSHA. It is filled out by employees to provide details about their injury and how it occurred.

This document provides a template for creating a Sample Affirmative Action Plan. It outlines steps and strategies that organizations can use to promote diversity and inclusion in the workplace.

This Form is used for declining to receive the Hepatitis B vaccination.

This document provides information to employees about the health benefits they are entitled to under COBRA.

This form is used for providing emergency contact information.

This Form is used for requesting leave under the Family and Medical Leave Act (FMLA).

This Form is used to request authorization or for a carrier or self-insured employer to respond to a request.

This Form is used for providing eligibility data for ETA programs and services.

This document is used for reporting the death of an employee to their superior. The form is called CA-6 and is the official report for this purpose.

This Form is used for providing evidence to support a claim for occupational disease.

This Form is used for employees who want to appeal a decision made by the Employees' Compensation Appeals Board. It is the Application for Review (AB-1) Form.

This form is used for reporting an employee's injury or death in the workplace. It is an important document that helps ensure proper documentation and handling of incidents.

This form is used for requesting wage determination and providing a response to the request.

This form is used for obtaining approval for a compromise of a third person cause of action.

This form is used for reporting earnings. It is designed to track and document income earned by an individual or business for tax purposes.

This form is used for requesting the payment of compensation to an employee without a formal award.

This form is used for filing a claim for compensation by parents, brothers, sisters, grandparents, or grandchildren. It is a document that allows these family members to seek compensation in cases of injury or death of a federal employee.

This form is used for certifying funeral expenses. It is a document that verifies the amount spent on a funeral.

This document was issued by the Internal Revenue Service (IRS), the Department of Labor (DOL), and the Pension Benefit Guaranty Corporation (PBGC). It is a formal instrument used by employers that manage the employee benefit program to inform the authorities about the qualifications of the plan, investments made to the plan, and financial details of the program.

This Form is used for documenting an individual's employment history.

This form is used for employers and/or insurance carriers to waive service of legal documents by registered or certified mail.

This document provides frequently asked questions and answers regarding the military family leave provisions of the Family and Medical Leave Act (FMLA). It offers information about the rights and provisions available for military families when it comes to taking leave from work.

This document is a guide to help you manage your money and plan for your financial future. It provides tips and strategies for saving money and making wise financial decisions.

This form is used for applying for a prevailing wage determination. It provides instructions on how to accurately complete and submit the Form ETA-9141C.