Form LS-274 Report of Injury Experience of Insurance Carrier or Self-insured Employer

What Is Form LS-274?

This is a legal form that was released by the U.S. Department of Labor - Office of Workers' Compensation Programs on April 1, 2009 and used country-wide. As of today, no separate filing guidelines for the form are provided by the issuing department.

FAQ

Q: What is Form LS-274?
A: Form LS-274 is a report that provides information about the injury experience of an insurance carrier or a self-insured employer.

Q: Who needs to file Form LS-274?
A: Insurance carriers and self-insured employers are required to file Form LS-274.

Q: What information is included in Form LS-274?
A: Form LS-274 includes information about the number of injuries, the types of injuries, and the costs associated with those injuries.

Q: When should Form LS-274 be filed?
A: Form LS-274 should be filed annually, no later than March 1st of each year.

Q: Are there any penalties for not filing Form LS-274?
A: Yes, failure to file Form LS-274 or filing false information can result in penalties and fines.

Q: Can Form LS-274 be filed electronically?
A: Yes, Form LS-274 can be filed electronically through the Electronic Data Interchange (EDI) system.

Q: Are there any fees associated with filing Form LS-274?
A: No, there are no fees associated with filing Form LS-274.

Q: Is Form LS-274 confidential?
A: Yes, the information provided in Form LS-274 is confidential and will not be disclosed to the public.