Forms
ACORD Workers Compensation Application Form
LCTA Workers' Comp Membership Agreement Form
Louisiana Department of Labor Form 1007 for Reporting an Injury
United States Department of Treasury IRS Form W-9 - Request For Taxpayer Identification Number
Sample Post Hire Medical Questionnaire
NCCI ERM-14 Form - Confidential Request for Ownership Information
LCTA Workers' Comp Owner/Officer Status Election Form
LCTA Workers' Comp Request for Specific Waiver of Subrogation Endorsement
LCTA Workers' Comp Request for Blanket Waiver of Subrogation Endorsement
LCTA Workers' Comp Supplemental Longshoreman and Harbor Workers Compensation Application
LCTA Workers' Comp General Contractor Supplemental Application