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Get DoL LS-208 2015

E of injury or date of last payment of compensation. If you have any impairment of the body, serious disfigurement, or other disability from the injury which may handicap you in securing or maintaining employment you should submit a claim to the U. S. Department of Labor as shown in 3a above. Please be sure to include the OWCP Case Number. For further instructions, please see the reverse side of this form. Form LS-208 Rev. May 2015 INSTRUCTIONS TO INJURED WORKER AND BENEFICIARY A claim may b.

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