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At Workers' Compensation Shop.com we attempt to offer free access to Louisiana's workers' compensation forms, applications and guides. We strive to keep our library as up to date as possible.
As with all the information we provide about state workers' comp rules please verify the accuracy of this information with the Louisiana Workers' Compensation Administration.
If you have questions about a workers' comp form feel free to contact a specialist at 888-611-7467. We want to be your source for workers' compensation information, rates and quotes in Louisiana.
Louisiana Acord 130 Workers' Compensation Application
The standard Acord 130 application form for workers' comp coverage in Louisiana.
Louisiana First Report of Injury Form
First Report of Injury Form. Employers should complete this form and send to their insurance company each time an injury occurs.
Louisiana Application for Exclusion of Officers and Stockholders
Owners and Officers of corporations should complete this form to exclude themselves from a work comp policy.
Louisiana Service Company Checklist
Complete this form if you are a workers' compensation insurance company that is interested in doing business in the state of Louisiana.
Exemptions from Coverage for Louisiana
A document outlining the employees that are exempt from workers' compensation coverage in the State of Louisiana.
Facts for Injured Workers In Louisiana
Poster containing information about workers' compensation in Louisiana for workers and employers.
Each state has its own laws and requirements regarding when and how employers are allowed to opt-out of coverage under their workers' compensation policy. Some states make it easier than others because they don't require anything to be filed. Other states require special inclusion or exclusion affidavit documentation. Failure to comply often causes employers to have to pay premium on themselves even when they wanted to be excluded form coverage.
A waiver of subrogation means that a business and their insurance company is foregoing all rights to file suit, or seek damages, from another business. This is common in the construction industry as builders attempt to protect their company from negligence. A workers' comp waiver of subrogation does not prevent an injured employee from filing a lawsuit for damages. This coverage typically add about $100 to the cost of a work comp policy.
A Certificate of Insurance is a document that serves as evidence of insurance or proof of coverage. Certificates indicate your current coverages and policy limits. Insurance Agencies issue on an insured's behalf and they often list a third party as a certificate holder. This means they should be notified if a policy cancels prior to expiration. Requests for any special wording should be carefully checked against the policy language before being added to a certificate as they can create legal issues with coverage.
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State Resources for Louisiana
Louisiana Workers' Compensation Administration
P.O. Box 94040Baton Rouge, LA 70804-9040225-342-7555 www.laworks.net/WorkersComp/
LLouisiana Workers' Compensation Corporation
2237 South Acadian ThruwayBaton Rouge, LA 70808225-924-7788 Louisiana Insurance Division
Workers' compensation insurance is required by law for Louisiana employers.
Louisiana forms and applications such as owners inclusion or exclusion forms are sometimes updated by the state. Contact us if you need help or can't find the workers' compensation form your need for Louisiana.
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