Forms and Documents
There are many forms that are used during the course of an LHWCA claim. Here you can scroll through the main forms and even click their images to open fully functional PDF versions of such forms. Below is a listing of the forms contained on our site with a link to each page.
- LS‑203 Employee’s Claim for Compensation under LHWCA
- LS‑202 Employer’s First Report of Injury or Occupational Illness under the LHWCA
- LS‑201 Notice of Employee’s Injury or Death under the LHWCA
- LS‑262 Claim for Death Benefits under the LHWCA
- LS 18 Pre-Hearing Statement under the LHWCA
- LS 206 Payment of Compensation Without Award under LHWCA
- LS 207 Notice of Controversion of Right to Compensation under LHWCA
- LS-208 Notice of Final Payment or Suspension of Compensation Benefits under the LHWCA
- LS-33 Approval of Compromise of Third Person Cause of Action under LHWCA
- LS-200 Report of Earnings under LHWCA

