LS-202 2026

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  1. Click 'Get Form' to open the LS-202 in the editor.
  2. Begin by entering the OWCP number and Carrier's number at the top of the form. This information is crucial for tracking your report.
  3. Fill in the date and time of the accident in the specified format (mm/dd/yyyy). Ensure accuracy as this is a key detail.
  4. Provide the injured employee's full name, including first name, middle initial, and last name. Include their telephone number and address details.
  5. Indicate under which Act the injury is reported by marking one option. This helps categorize the claim appropriately.
  6. Specify where the injury occurred by selecting from options provided. Be detailed to ensure clarity on location.
  7. Continue filling out sections regarding loss of time, nature of injury, and any medical attention authorized. Each section requires specific details that are vital for processing claims.

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Versions Form popularity Fillable & printable
2020 4.8 Satisfied (213 Votes)
2012 4.4 Satisfied (46 Votes)
1998 4.4 Satisfied (391 Votes)
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