This is a legal form that was released by the Louisiana Workforce Commission - a government authority operating within Louisiana. As of today, no separate filing guidelines for the form are provided by the issuing department.
Q: What is the LWC-WC IA-1 Form?
A: The LWC-WC IA-1 Form is the First Report of Injury or Illness used for workers' compensation in Louisiana.
Q: What is the purpose of the LWC-WC IA-1 Form?
A: The purpose of the LWC-WC IA-1 Form is to report any work-related injuries or illnesses to the Louisiana Workforce Commission and the employer's workers' compensation insurance carrier.
Q: Who should fill out the LWC-WC IA-1 Form?
A: The LWC-WC IA-1 Form should be filled out by the injured employee or their representative, the employer, or the employer's workers' compensation insurance carrier.
Q: What information is required on the LWC-WC IA-1 Form?
A: The LWC-WC IA-1 Form requires information about the injured employee, the employer, the injury or illness, and any medical treatment received.
Q: Is the LWC-WC IA-1 Form mandatory?
A: Yes, the LWC-WC IA-1 Form is mandatory and must be completed within 10 days of the injury or illness.
Form Details:
Download a fillable version of Form LWC-WC IA-1 by clicking the link below or browse more documents and templates provided by the Louisiana Workforce Commission.