WORKERS’ COMPENSATION RECORDS REQUEST FORM Forms
| Form Name | WORKERS’ COMPENSATION RECORDS REQUEST FORM |
| Form # | LWC-WC-1150 |
| Form Revision | Revised 12/05/23 |
| Category | Forms » Medical/Health |
| Downloads | |
| Form State | Louisiana |
| Language | English |
| State Description | n/a |
| Claimwire Description | n/a |