EMPLOYERS APPLICATION FOR THE PRIVILEGE OF PAYING COMPENSATION PROVIDED IN THE LOUISIANA WORKERS' COMPENSATION ACT AS SELF-INSURER Forms
| Form Name | EMPLOYERS APPLICATION FOR THE PRIVILEGE OF PAYING COMPENSATION PROVIDED IN THE LOUISIANA WORKERS' COMPENSATION ACT AS SELF-INSURER |
| Form # | LWC-WC-2005 |
| Form Revision | No Form/Rev Date |
| Category | Forms » Insurance |
| Downloads | |
| Form State | Louisiana |
| Language | English |
| State Description | n/a |
| Claimwire Description | n/a |