First Report of Injury

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The First Report of Injury (Form LWC-WC IA-1) is a legal form released by the Louisiana Workforce Commission - a government authority operating within Louisiana. Louisiana Law requires that employers complete the form within 10 days of actual knowledge of the incident. 


The form provides information necessary to begin the claims process. Details regarding the claimant’s employment and circumstances surrounding the injury or illness are also requested. Any employer that fails to report such an injury may be subject to a penalty.  


Please access the latest version of the appropriate form provided by the Louisiana Workforce Commission below.

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