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Application Supplemental Forms
Acord Application
Acord Application Instructions
Board of Directors Resolution (for Corporations)
Guaranty Agreement (seldom needed)
Indemnity Agreement
Members Agreement
Member Forms
Agreement to be Covered by Louisiana Workers' Compensation Law
Claim Reporting Instructions
Drug Policy
Drug Policy Instructions
Employer Certificate of Compliance (LDOL-WC-1025.ER)
Employer Report of Injury/Illness (LDOL-WC-1007)
Part Time Employment Acknowledgment Form
Part Time Employment Instructions
Second Injury Fund Compliance Coversheet
Second Injury Fund Instructions
Second Injury Fund Questionnaire