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Employer Corner > Second Injury Forms

Most of these documents are in PDF format and require the Adobe Acrobat Reader.  If you do not have the reader, you can download it for free here.

  • File

    LA Second Injury Questionnaire.pdf

     (94K)
  • File

    SECOND INJURY FUND Instruction Sheet.pdf

     (28K)
  • File

    Second Injury Fund Brochure.pdf

     (25K)
  • File

    Second Injury Fund Compliance Coversheet.pdf

     (33K)
  • File

    Second Injury Questionnaire (Spanish) Cuestionario de fondo de lesiones segunda de Louisiana.doc

     (93K)
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