Form LS-570 Carrier's Report of Issuance of Policy

Form LS-570 Carrier's Report of Issuance of Policy

What Is Form LS-570?

This is a legal form that was released by the U.S. Department of Labor - Office of Workers' Compensation Programs on January 1, 2010 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-570?
A: Form LS-570 is the Carrier's Report of Issuance of Policy.

Q: Who is required to file Form LS-570?
A: Insurance carriers are required to file Form LS-570.

Q: What information is required in Form LS-570?
A: Form LS-570 requires information about the policy's issuance, including the policy number, effective date, and insured party.

Q: Is Form LS-570 only for policies issued in the US?
A: No, Form LS-570 is also used for policies issued in Canada.

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Form Details:

  • Released on January 1, 2010;
  • The latest available edition released by the U.S. Department of Labor - Office of Workers' Compensation Programs;
  • Easy to use and ready to print;
  • Yours to fill out and keep for your records;
  • Compatible with most PDF-viewing applications;
  • Fill out the form in our online filing application.

Download a fillable version of Form LS-570 by clicking the link below or browse more documents and templates provided by the U.S. Department of Labor - Office of Workers' Compensation Programs.

Download Form LS-570 Carrier's Report of Issuance of Policy

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  • Form LS-570 Carriers Report of Issuance of Policy, Page 1
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