Notice of Compliance Regarding La. Workers’ Compensation Law

WRITTEN BY

GOALS OF THIS GUIDE

In the case of injury or death caused by a work-related accident, an injured employee or any person claiming to be entitled to compensation either as a claimant or as a representative of a person claiming to be entitled to compensation, must give notice to the employer within 30 days of the injury. 


If notice is not given within 30 days, no payments will be made for such injury or death. In addition, any fraudulent action by the employer, employee, or any other person for the purpose of obtaining or defeating any benefit or payment of workers’ compensation shall subject such person to criminal as well as civil liabilities. 


Please access the latest version of the appropriate form below:

Download in English

Download en Español

No items found.

Related resources

Articles
October 12, 2021

The Case for a Drug-Free Workplace

The hazards and risks from substances threaten the health and safety of employees. Learn the costs of drug abuse and the benefits of a drug-free program.

Guide to Online Payroll Reporting

Monthly payroll reporting is an alternative method of premium payment that may benefit policyholders whose payroll may vary from month to month. Learn more about how to go about reporting payroll online via LWCC Interactive.

Safety Services Request Form

Need to get in touch with our Safety Services team or request access to safety resources? Fill out the form and provide as many details as possible regarding your request, and we’ll get back to you as soon as possible.

Frequently asked questions

This is a sample two line introductory paragraph that serves as an intro on the blog/article preview. This is just sample text serving as a placeholder.

How do I register as a policyholder?

This is a sample two line introductory paragraph that serves as an intro on the blog/article preview. This is just sample text serving as a placeholder.This is a sample two line introductory paragraph that serves as an intro on the blog/article preview. This is just sample text serving as a placeholder.This is a sample two line introductory paragraph that serves as an intro on the blog/article preview.

This is a sample question for FAQs, this is a sample question.

This is a sample two line introductory paragraph that serves as an intro on the blog/article preview. This is just sample text serving as a placeholder.This is a sample two line introductory paragraph that serves as an intro on the blog/article preview. This is just sample text serving as a placeholder.This is a sample two line introductory paragraph that serves as an intro on the blog/article preview.

How do I register as a policyholder?

This is a sample two line introductory paragraph that serves as an intro on the blog/article preview. This is just sample text serving as a placeholder.This is a sample two line introductory paragraph that serves as an intro on the blog/article preview. This is just sample text serving as a placeholder.This is a sample two line introductory paragraph that serves as an intro on the blog/article preview.

This is a sample question for FAQs but expanded.

This is a sample two line introductory paragraph that serves as an intro on the blog/article preview. This is just sample text serving as a placeholder.This is a sample two line introductory paragraph that serves as an intro on the blog/article preview. This is just sample text serving as a placeholder.This is a sample two line introductory paragraph that serves as an intro on the blog/article preview.

How do I register as a policyholder?

This is a sample two line introductory paragraph that serves as an intro on the blog/article preview. This is just sample text serving as a placeholder.This is a sample two line introductory paragraph that serves as an intro on the blog/article preview. This is just sample text serving as a placeholder.This is a sample two line introductory paragraph that serves as an intro on the blog/article preview.

This is a sample question for FAQs but expanded.

This is a sample two line introductory paragraph that serves as an intro on the blog/article preview. This is just sample text serving as a placeholder.This is a sample two line introductory paragraph that serves as an intro on the blog/article preview. This is just sample text serving as a placeholder.This is a sample two line introductory paragraph that serves as an intro on the blog/article preview.