Form LS-426 Request for Earnings Information

Form LS-426 Request for Earnings Information

What Is Form LS-426?

This is a legal form that was released by the U.S. Department of Labor - Office of Workers' Compensation Programs on March 1, 2012 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-426?
A: Form LS-426 is a Request for Earnings Information form.

Q: Who can use Form LS-426?
A: Form LS-426 can be used by individuals and organizations to request earnings information.

Q: What information can be requested with Form LS-426?
A: Form LS-426 can be used to request earnings information such as salary, wages, tips, commissions, and bonuses.

Q: Do I need to provide any supporting documents with Form LS-426?
A: No, you do not need to provide any supporting documents with Form LS-426.

Q: How long does it take to process Form LS-426?
A: Processing times for Form LS-426 may vary, but it generally takes around 10 business days.

Q: Is there a fee to submit Form LS-426?
A: No, there is no fee to submit Form LS-426.

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Form Details:

  • Released on March 1, 2012;
  • 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-426 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-426 Request for Earnings Information

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