DLHWC Longshore LS-1 Request for Examination and-or Treatment
DLHWC Longshore LS-200 Report of Earnings
DLHWC Longshore LS-201 Notice of Employee Injury or Death
DLHWC Longshore LS-203 Employee Claim for Compensation
OWCP-5a Work Capacity Evaluation For Psychiatric-Psychological Conditions
OWCP-5b Work Capacity Evaluation For Cardiovascular-Pulmonary Conditions
OWCP-5c Work Capacity Evaluation for Musculoskeletal Conditions
Travel Mileage Reimbursement Form