PDF
Word
Form LS-5 Application for Special Fund Relief
What Is Form LS-5?
This is a legal form that was released by the U.S. Department of Labor - Office of Workers' Compensation Programs 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-5?
A: Form LS-5 is an application for Special Fund Relief.
Q: Who can use Form LS-5?
A: Anyone who qualifies for Special Fund Relief can use Form LS-5.
Q: What is Special Fund Relief?
A: Special Fund Relief is a program that provides financial assistance to eligible individuals.
Q: How do I fill out Form LS-5?
A: Follow the instructions provided on the form to fill out all the required information.
Form Details:
- 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-5 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-5 Application for Special Fund Relief
1
2
