Alphabetical Listing

• 0-9
• A
• B
• C
• D
• E
• F
• G
• H
• I
• J
• K
• L
• M
• N
• O
• P
• Q
• R
• S
• T
• U
• V
• W
• X
• Y
• Z

Please visit the Downloads Main Menu to view information about the file formats used and where to download the applications needed to view these formats.

0-9

Name	Format	Size	Description
2011 - WIA/Wagner Peyser Act State Plan – PY 2011		807 KB	PY11 modification to Louisiana WIA/Wagner-Peyser Act State Plan
2013 Template for Standards of Apprenticeship		278 KB	LWC Standards of Apprenticeship
2019 Ratio Rate Table		13 KB	2019 Ratio Rate Table
2020 Ratio Rate Table		13 KB	2020 Ratio Rate Table
2021 Ratio Rate Table New		95 KB	2021 Ratio Rate Table

A

Name	Format	Size	Description
Act 472 Apprenticeship Tax Credit		21 KB	Act 472 Apprenticeship Tax Credit
Admitted Workers' Compensation Insurers		124 KB
Age Discrimination Poster (Letter/Black and White)		58 KB	Age Discrimination Poster (Letter/Black and White)
Age Discrimination Poster (Letter/Color)		81 KB	Age Discrimination Poster (Letter/Color)
American Job Center Contact List New		139 KB
An Overview of OWCA Section's Activity	HTML
Annual Report - WIA PY 2014 New		1.2 MB	Annual report on LWC programs and activities during Workforce Investment Act Program Year 2014.
Annual Report of Workers' Compensation Costs			LWC-WC 1000 - This Workers' Compensation page provides an annual report of Workers' Compensation costs.
App. & Agreement for Partial Transfer of Exp. Rating Record		96 kb	Mandatory Application for transfer of experience rating record on a partial succession.
Application Forms		62 KB	How to fill out application forms.
Application to Employ Minors Under Age 18		217 KB	Application required to employ a minor under the age of 18
Apprentice Agreement		97 KB	LWC Apprentice Agreement
Apprenticeship Fact Sheet		121 KB	Apprenticeship Fact Sheet - Louisiana
Apprenticeship in Louisiana		34 KB	Informational flyer describing the development and operation of registered apprenticeship in Louisiana
Archived Nonfatal occupational injuries and illness summary data	HTML		Nonfatal occupational injuries and illness summary data from all available years
Archived Nonfatal occupational injuries and illnesses case & demographic data	HTML		Nonfatal occupational injuries and illnesses case & demographic data from all available years
Authorized Self-Insured Employers New		293 KB
Authorized Third Party Administrators		32 KB
Average Weekly Wage Computation		161 KB	Instructions for computing an employee’s average weekly wage (Workers' compensation)

B

Name	Format	Size	Description
Benefit Charge Protest			Employers Application to Review Benefit Charges (Benefit Charge Protest)
Benefit Rights Information		259 KB	Full version of Benefit Rights Information handbook, which explains the rights and responsibilities of persons who file a new claim for Unemployment Insurance (UI) benefits.

C

Name	Format	Size	Description
Career Planning Guide		7.5 MB	View 2011 Career Planning Guide
Cartel de la discriminación de edad (carta a color)		84 KB	Cartel de la discriminación de edad (carta a color)
Cartel de la discriminación de edad (carta blanco y negro)		60 KB	Cartel de la discriminación de edad (carta blanco y negro)
Cartel de la remuneración de los trabajadores (carta a color)		267 KB	Cartel de la remuneración de los trabajadores (carta a color)
Cartel de la remuneración de los trabajadores (carta blanco y negro)		243 KB	Cartel de la remuneración de los trabajadores (carta blanco y negro)
Cartel del estado para la oportunidad igual (carta a color)		49 KB	Cartel del estado para la oportunidad igual (carta a color)
Cartel del estado para la oportunidad igual (carta blanco y negro)		49 KB	Cartel del estado para la oportunidad igual (carta blanco y negro)
Cartel del estado para las células falciformes (carta a color)		83 KB	Cartel del estado para las células falciformes (carta a color)
Cartel del estado para las células falciformes (carta blanco y negro)		60 KB	Cartel del estado para las células falciformes (carta blanco y negro)
Cartel del subsidio de desempleo (carta a color)		83 KB	Cartel del subsidio de desempleo (carta a color)
Cartel del subsidio de desempleo (carta blanco y negro)		60 KB	Cartel del subsidio de desempleo (carta blanco y negro)
Census of Fatal Occupational Injuries (CFOI)	HTML
CERTIFICADO DE CONFORMIDAD DEL TRABAJADOR		72KB	LWC-WC 1025 (en Español) - CERTIFICADO DE CONFORMIDAD DEL TRABAJADOR
Child Labor Law Compliance Procedures		39 KB	Sample plan used as a guide by employers to develop procedures for Child Labor Law compliance
Circuit Courts of Appeal		140 KB	Circuit Courts of Appeal
Civilian Labor Force Summary	HTML		Estimated labor force, employed, unemployed, and unemployment rate of individuals 16 and over by month from 1990 through the latest annual average
Combined State Plan - July 1, 2016 through June 30, 2020 New		1.9 MB	This document outlines Louisiana's Demand-Driven Workforce Innovation and Opportunity Plan for Title I, Title II, Title III and Title IV of the Act. This plan also includes the following partner programs: Community Services Block Grant CSBG, Veterans State Grants JVSG, Temporary Assistance for Need Families TANF and Supplemental Nutrition Assistance Program SNAP.
Community Action Agencies		118 KB
Community Action Agency Service Locations		130 KB
Contract and Temporary Workers JVS 20102		59 KB	Contract and Temporary Workers: A supplemental report to the 2010 Job Vacancy Survey
Contratista Independiente o Empleado? (carta a color)		82 KB	Contratista Independiente o Empleado? (carta a color)
Contratista Independiente o Empleado? (carta blanco y negro)		60 KB	Contratista Independiente o Empleado? (carta blanco y negro)
Cost Containment Application		154 KB	LWC-WC 1021 - Employer’s application for participation in the cost containment program (Workers' compensation)
Cost Containment Rules		25 KB	Guidelines to establish and implement effective injury control measures (Workers' compensation)
CPT Codes - 2000 Update		426 KB	Updated CPT for 2000
Creditos Por Ingresos Ganados 2016		130 KB	Creditos Por Ingresos Ganados 2016
Creditos Por Ingresos Ganados 2017		210 KB	Creditos Por Ingresos Ganados 2017
Creditos Por Ingresos Ganados 2018		198 KB	Creditos Por Ingresos Ganados 2018
Creditos Por Ingresos Ganados 2019		212 KB	Creditos Por Ingresos Ganados 2019
Creditos Por Ingresos Ganados 2020		228 KB	Creditos Por Ingresos Ganados 2020
Creditos Por Ingresos Ganados 2021 New		228 KB	Creditos Por Ingresos Ganados 2021
CSBG State Plan 2020-2021		1.2 MB
Current Employment Statistics Overview New		253 KB	View Current Employment Statistics (CES) Overview

D

Name	Format	Size	Description
Derechos y Responsabilidades Para Los Empleados y Los Empleadores en La Compensación a Los Trabajadores New		89 KB	Rights And Responsibilities in Workers' Compensation (en Español)
Designation of Certifying Officials		17 KB	Veteran Affairs Form 22-8794
Developing a Registered Apprenticeship New		110 KB	Steps to Create a Registered Apprenticeship Program.
Directory of Safety Services		33 KB	Directory of Safety Services - Revised January 2012
Directory of Safety Services - Consultants - Applications		37 KB	Application for Directory of Safety Services
Disability Program Navigator Initiative		998KB	The Disability Program Navigator Initiative will help people with disabilities “navigate” through the challenges of seeking work.
Dislocated Worker Unit/WARN Contact Information	HTML		Dislocated Worker Unit/WARN Contact Information
Disputed Claim for Compensation - Form 1008		75 KB	LWC-WC 1008 - Form to be filed with the Workers' Compensation district office when there is any disputed issue in a claim
Disputed Claim for Medical Treatment - Form 1009		23 KB	LWC-WC 1009 - Form to be filed with the Workers' Compensation Medical Services Director when there is a Disputed Claim for Medical Treatment.
District Offices and Parishes Served		16 KB
Do You Have An After-School Job?		139 KB	Louisiana Labor Laws you need to know about before you start work
Drug Testing Programs in Job Accident Cases		29 KB	Title 40. Chapter 15. Drug Testing Programs in Job Accident Cases. Guidelines for accident-related drug testing (Workers' compensation)

E

Name	Format	Size	Description
Earned Income Credit (EIC) 2016 Poster		124 KB	Earned Income Credit (EIC) 2016 Poster
Earned Income Credit (EIC) 2017 Poster		145 KB	Earned Income Credit (EIC) 2017 Poster
Earned Income Credit (EIC) 2018 Poster		145 KB	Earned Income Credit (EIC) 2018 Poster
Earned Income Credit (EIC) 2019 Poster		202 KB	Earned Income Credit (EIC) 2019 Poster
Earned Income Credit (EIC) 2020 Poster		203 KB	Earned Income Credit (EIC) 2020 Poster
Earned Income Credit (EIC) 2021 Poster New		93 KB	Earned Income Credit (EIC) 2021 Poster
EFT - Authorization Agreement		61 KB	Application for employers to begin filing unemployment tax payments electronically. It may be filled out online but must be mailed in.
EFT - Example of CCD Format		43 KB	Example of a Tax Payment Addendum for ACH credit transmission in the required format
EFT - Tax Payment Addendum - ACH Credit		38 KB	Required format for employers filing unemployment tax payments electronically using the credit function
El estado asignó el cartel por mandato para la discriminación genética (carta a color)		79 KB	El estado asignó el cartel por mandato para la discriminación genética (carta a color)
El estado asignó el cartel por mandato para la discriminación genética (carta blanco y negro)		55 KB	El estado asignó el cartel por mandato para la discriminación genética (carta blanco y negro)
El estado asignó el cartel por mandato para la guardia nacional (ESGR) (carta a color)		2.8 MB	El estado asignó el cartel por mandato para la guardia nacional (carta a color)
El estado asignó el cartel por mandato para la ley de trabajo adolescente (blanco y negro)		132 KB	El estado asignó el cartel por mandato para la ley de trabajo adolescente (blanco y negro)
El estado asignó el cartel por mandato para la ley de trabajo adolescente(carta a color)		136 KB	El estado asignó el cartel por mandato para la ley de trabajo adolescente (carta a color)
El estado asignó el cartel por mandato para no los vehículos de motor residentes del estado fuera de los vehículos de motor del estado (carta a color)		85 KB	El estado asignó el cartel por mandato para no los vehículos de motor residentes del estado fuera de los vehículos de motor del estado (carta a color)
El estado asignó el cartel por mandato para no los vehículos de motor residentes del estado fuera de los vehículos de motor del estado (carta blanco y negro)		61 KB	El estado asignó el cartel por mandato para no los vehículos de motor residentes del estado fuera de los vehículos de motor del estado (carta blanco y negro)
Electronic Funds Transfer Enrollment Form
ELEGIR A SU PROPIO DOCTOR New		45 KB	LWC-WC 1121 (en Español) - Formulario que completará el trabajador lesionado al seleccionar a su médico de elección
Employee Authorization for OWCA to Release Confidential Workers Compensation Records		118 KB	LWC-WC 1151 - OWCA form for Employee Authorization to Release Confidential Workers Compensation Records
Employee Notification of Coverage of Multi-State Worker		26 KB	LWC-ES321-RC-2 - Employee Notification of Coverage of Multi-State Worker
Employee Polygraph Protection Act Notice (EPPA)			U.S. Department of Labor’s required poster to prevent private sector employers engaged in or affecting commerce from using lie detector tests, subject to certain exceptions.
Employee Polygraph Protection Act Notice (EPPA) [Spanish]			U.S. Department of Labor’s required poster to prevent private sector employers engaged in or affecting commerce from using lie detector tests, subject to certain exceptions.
Employee Rights and Responsibilities Under the Family and Medical Leave Act (FMLA)			U.S. Department of Labor's required poster summarizing the major provisions of the Family Medical Leave Act (FMLA), which provides for unpaid, job-protected leave for certain family and medical reasons.
Employee Rights and Responsibilities Under the Family and Medical Leave Act (FMLA) [Spanish]			U.S. Department of Labor's required poster summarizing the major provisions of the Family Medical Leave Act (FMLA), which provides for unpaid, job-protected leave for certain family and medical reasons.
Employee Rights for Workers with Disabilities Paid at Special Minimum Wages (FLSA Section 14(c))			U.S. Department of Labor’s required poster for employers who have certain employees with disabilities, explaining the conditions under which they may be paid special minimum wages.
Employee Rights on Government Contracts (SCA, CWHSSA, Walsh-Healey)			U.S. Department of Labor's required poster regarding the Contract Work Hours and Safety Standards Act (CWHSSA), the McNamara-O'Hara Service Contract Act (SCA), and the Walsh-Healey Public Contracts Act.
Employee Rights on Government Contracts (SCA, CWHSSA, Walsh-Healey) [Spanish]			U.S. Department of Labor's required poster regarding the Contract Work Hours and Safety Standards Act (CWHSSA), the McNamara-O'Hara Service Contract Act (SCA), and the Walsh-Healey Public Contracts Act.
Employee Rights Under the Fair Labor Standards Act Poster (FLSA/Minimum Wage)			U.S. Department of Labor's required poster under the Fair Labor Standards Act (FLSA) for every private, federal, state and local government employer employing any employee subject to the Fair Labor Standards Act, 29 USC 211, 29 CFR 516.4 posting of notices.
Employee Rights Under the Fair Labor Standards Act Poster (FLSA/Minimum Wage) [Spanish]			U.S. Department of Labor's required poster under the Fair Labor Standards Act (FLSA) for every private, federal, state and local government employer employing any employee subject to the Fair Labor Standards Act, 29 USC 211, 29 CFR 516.4 posting of notices.
Employee Rights Under the H-2A Program			U.S. Department of Labor's poster explaining the rights of H-2A Workers and other workers employed on an H-2A work contract or by an H-2A employer in the same agricultural work as the H-2A.
Employee Rights Under the H-2A Program [Spanish]			U.S. Department of Labor's poster explaining the rights of H-2A Workers and other workers employed on an H-2A work contract or by an H-2A employer in the same agricultural work as the H-2A.
Employee's Certificate of Compliance - Form 1025ee		57 KB	LWC-WC 1025.EE - Form filed by injured workers explaining rights and responsibilities while receiving workers’ compensation benefits and penalties for failure to comply
Employee's Monthly Report of Earnings - Form 1020		42 KB	LWC-WC 1020 - Form filed monthly with the employer’s insurer by the injured worker to report any earnings (Workers' compensation)
Employee's Quarterly Report of Earnings - Form 1026		22 KB	LWC-WC 1026 - Form filed quarterly by the injured worker with their employer or insurer to report any earnings (Workers' compensation)
Employer Application for LA Unemployment Account	HTML		Form that every employing unit operating in Louisiana is required to complete and submit for an LA Unemployment Account.
Employer File Format Checker	EXE	78 KB	A downloadable executable file that allows you to validate your fixed format files before upload.
Employer Handbook/Business Owners' Manual		432 KB	A comprehensive guide for employers/business owners to Louisiana labor law, unemployment insurance, locally available services for businesses, and required registrations and posters
Employer's Certificate of Compliance - Form 1025er		14 KB	LWC-WC 1025.ER - Form filed by the employer explaining the employer’s rights and responsibilities to provide workers’ compensation benefits as well as penalties for failure to comply
Employer's Report of Change	HTML		New online form; log in to Tax Services to make changes to your employer account.
Employer's Request for Approval to Elect to Cover Multi-State Workers		39 KB	LWC-ES319-RC-1 - Employer's Request for Approval to Elect to Cover Multi-State Workers
Employer's Social Security Number Correction Form		32 KB	LWC-ES51B - To correct invalid or zero social security numbers reported on the Employer Wage & Tax Report
Employer’s Quarterly Wage & Tax Report	HTML		La Employment Security Law: R.S. 23:1531.1 requires ALL employers to file wage and Tax reports electronically beginning with the first quarter of 2014. Paper reports will not be available or accepted after January 31, 2014.
Employer’s Quarterly Wage & Tax Report - Amendment Form		68 KB	LWC ES51/WEB - Form for employers to complete when filing amendments to previously reported wages on the Quarterly Wage & Tax Report.
Employer’s Quarterly Wage & Tax Report Amendment Form - Continuation Sheet		89 KB	LWC ES51A - Form for listing additional wages as an attachment to the Quarterly Wage & Tax Report Amendment Form
Employers First Report of Injury or Illness (LWC-WC IA-1)		155KB	LWC-WC IA-1 - (1007 replacement - voluntary for 2013 & mandatory beginning 1/1/2014) - This form requires employers to complete and forward to their workers' compensation insurance carrier or self- insured fund. In turn, the insurance carrier, self-insured fund or self-insured employer is now obligated to enter the form as per instructions at http://lwcedi.info/
Employers guide to WOTC			USDOL Booklet for Employers
Employment & Wages Annual Report New	HTML		This is the latest Employment & Wages Annual Report published by the Louisiana Workforce Commission's Research and Statistics Division.
Employment & Wages Annual Report Archives	HTML		This provides access to the list of archived Employment & Wages Annual Reports.
Employment & Wages Quarterly Report New	HTML		This is the latest Employment & Wages Quarterly Report published by the Louisiana Workforce Commission's Research and Statistics Division.
Employment & Wages Quarterly Report Archives	HTML		This provides access to the list of archived Employment & Wages quarterly Reports.
Employment Certificate Issuing Locations		224 KB	A list of all locations in Louisiana that issue Employment Certificates for minors.
Employment of Minors - Informational Booklet		133 KB
Employment Opportunity is the Law (EEO)			U.S. Equal Employment Opportunity Commission’s required poster and supplement for certain federal contractors and subcontractors to prohibit discrimination in employment decisions.
Employment Opportunity is the Law (EEO) - Supplement			U.S. Equal Employment Opportunity Commission’s required poster and supplement for certain federal contractors and subcontractors to prohibit discrimination in employment decisions. [Supplement]
Employment Opportunity is the Law (EEO) - Supplement [Spanish]			U.S. Equal Employment Opportunity Commission’s required poster and supplement for certain federal contractors and subcontractors to prohibit discrimination in employment decisions. [Supplement]
Employment Opportunity is the Law (EEO) [Spanish]			U.S. Equal Employment Opportunity Commission’s required poster and supplement for certain federal contractors and subcontractors to prohibit discrimination in employment decisions.
Employment Projections New	HTML		This is the latest Employment Projections published by the Louisiana Workforce Commission's Research and Statistics Division.
Employment Projections Archives	HTML		This provides access to the list of archived Employment Projections.
Equal Opportunity State Poster (Letter/Black and White)		62 KB	Equal Opportunity State Poster (Letter/Black and White)
Equal Opportunity State Poster (Letter/Color)		62 KB	Equal Opportunity State Poster (Letter/Color)
ETA Form 9142			H-2a Application for Temporary Employment Certification
ETA Form 9142 A1			H-2A Multi Crop/Agricultural Rate of Pay Information and Agent/Attorney & Employer Declaration
ETA Form 9142 B			H-2b Application for Temporary Employment Certification
ETA Form 9142 Instructions			Form 9142A General Instructions
Excel Template to .CSV Comma Delimited File Format Instructions for Filing Wage Upload New		27 KB	LWC - required Excel template and instructions for .CSV file save for use in submitting quarterly wage report. REVISED 05/31/2015
Exempt Businesses		8 KB	Companies exempt from 300 log
Exemptions From Coverage		24 KB
Explanation of tax credits		48 KB	WOTC - Descriptions & Definitions of Target-Groups

F

Name	Format	Size	Description
Fidelity Bonding Program		95 KB	LWC Fidelity Bonding Program
FINRA Job Dislocation Guide		494 KB	FINRA Job Dislocation Guide
FINRA Job Dislocation Guide (Spanish)		500 KB	FINRA Job Dislocation Guide (Spanish)
First day on the job		105 KB
Fiscal Responsibility		38 KB	Guidelines for employers and insurers providing workers’ compensation insurance coverage in Louisiana
Form ETA 9061			Individual Characteristics Form
Form ETA 9062			WOTC Conditional Certification
Form ETA 9175			Long-Term Unemployment Recipient Self-Attestation Form
Form IRS 8850			Pre-Screening Notice and Certification Request for the Work Opportunity Credit
FORM LWC-WC 1017 Exemptions by North American Industry Classification System (NAICS) Codes		8 KB
Fraud Reporting Form for Unemployment Insurance Benefits		263 KB
Fraud Rules		10 KB	Title 40, Chapter 19 Rules. Outlines the guidelines required for compliance with the Workers' Compensation Act.

G

Name	Format	Size	Description
General Provisions		13 KB	Title 40. Chapter 1. General Provisions. Defines the responsibilities and rights of the employee, employer, and the carrier in the administration of workers' compensation in Louisiana.
Genetic Discrimination State Mandated Poster (Letter/Black and White)		53 KB	Genetic Discrimination State Mandated Poster (Letter/Black and White)
Genetic Discrimination State Mandated Poster (Letter/Color)		76 KB	Genetic Discrimination State Mandated Poster (Letter/Color)
Getting Started - What should I be doing now?		398 KB
Glossary of Terms for Form 1017a		22 kb	LWC-WC 1017A - Glossary - Glossary of terms used when completing form LWC-WC 1017A

H

Name	Format	Size	Description
Hearing Rules		751 KB	Office of Workers Compensation - Court Hearing Procedures (LAC 40:I.Chapters 55-66).
HiRE Access Request Form New		586 MB	Complete this form and upload into the Documents Section of the HiRE Provider Profile.

I

Name	Format	Size	Description
Independent Contractor or Employee? (Letter/Black and White)		89 KB	Independent Contractor or Employee? (Letter/Black and White)
Independent Contractor or Employee? (Letter/Color)		113 KB	Independent Contractor or Employee? (Letter/Color)
Independent Contractors: Guidelines for Employers		52 kb	Unemployment Tax guidelines For Employers: Independent Contractors
Informacion De Beneficios Y Derechos		80 KB	Información enviada por correo a la persona cuando aplica por el Seguro de Beneficios por Desempleo (UI) y que le explica su derechos y responsabilidades (versión en Español)
Institutional Update Form New		1.2 MB	Complete this form and upload into the Documents Section of the HiRE Provider Profile.
Instructions for .TXT Fixed File SSA Upload - Quarterly Wage & Tax Reporting New		220 KB	Detailed instructions for how to format .TXT files for upload of quarterly wage reports via LWC's online services.
Instructions for Completing Quarterly Report of Wages Paid - Amendment Form	HTML		LWC-ES51/WEB
Interpreter/ADA Accommodations		53 KB	Form to request for a language interpreter or deaf/hearing impaired assistance in Workers’ Compensation Court
Interviewing Techniques		199 KB
IRS Filing Instructions	HTML		IRS Guide to filing WOTC Certifications
IWTP Application	Web Application		Employer’s application for participation in the Incumbent Worker Training Program
IWTP Consortium Member Overview Form		53 KB	IWTP Consortium Member Overview Form
IWTP Customized Sample Contract		56 KB	Sample of an IWTP Customized Training Contract
IWTP Customized Training Amendment Instructions		38 KB	IWTP Contract Instructions for Amendments
IWTP Customized Training Consortium Instructions		55 KB	IWTP Application Instructions for Consortia
IWTP Customized Training Consortium Signature Page Sample		61 KB	Sample signature sheet for a consortium application for Louisiana Workforce Commission's Incumbent Worker Training Program - Customized Training
IWTP Customized Training Customer Satisfaction Report Instructions		40 KB	This form provides step-by-step instructions on creating and submitting Customer Satisfaction reports for the IWTP.
IWTP Customized Training Employer Instructions		58 KB	IWTP Application Instructions for Employers
IWTP Customized Training Employer Signature Page Sample		61 KB	Sample signature sheet for an employer application for Louisiana Workforce Commission's Incumbent Worker Training Program - Customized Training
IWTP Customized Training Flyer		65 KB	Program Information for Louisiana Workforce Commission's Incumbent Worker Training Program (IWTP) Customized Training
IWTP Customized Training Invoice Supporting Documentation Guidelines Instructions		28 KB	This form provides descriptions of the supporting documentation needed when requesting expenditures from the Incumbent Worker Training Program.
IWTP Customized Training Invoicing Instructions		48 KB	This form provides step-by-step instructions on creating and submitting Invoices for the Incumbent Worker Training Program.
IWTP Customized Training Overview and FAQs		197 KB	Information on Customized Training Process
IWTP Customized Training Pro-Rating Instructions	Excel®	18 KB	This form provides an example of IWTP pro-rating cost per course.
IWTP Customized Training Quarterly Report Instructions		54 KB	This form provides step-by-step instructions on creating and submitting Quarterly Reports for the Incumbent Worker Training Program.
IWTP Customized Training Revision Instructions		45 KB	This form provides step-by-step instructions on creating and submitting Revisions for the Incumbent Worker Training Program.
IWTP Customized Training Sign-In Sheet	Excel®	44 KB	Primary and secondary training providers (including Vendors) will be required to use these standardized sign in sheets which include the following options: Single-day, Multi-Day, and Multi-Module.
IWTP Customized Training Training Provider Instructions		67 KB	IWTP Application Instructions for Training Providers
IWTP Customized Training Travel Expense Report	Excel®	20 KB	This standardized travel expense report will be required for any travel reimbursement funded by IWTP.
IWTP Fund Law	HTML		The legal statute that establishes authority for funding the IWTP activities
IWTP Regional Contacts		86 KB	Contact information for local area Regional Managers, Regional Business Liaisons, Regional Specialists, and Program Advisors affiliated with the Incumbent Worker Training Program
IWTP Rule and Regulations		32 KB	The regulations that establish authority for the IWTP's provisions and procedures.
IWTP Small Business Training Flyer		414 KB	Program Information for Louisiana Workforce Commission's IWTP Small Business Training
IWTP Small Business Training Instructions		643 KB	IWTP Instructions for Applying Online
IWTP Small Business Training Invoice Instructions		584 KB	IWTP Small Business Invoice Instructions

J

Name	Format	Size	Description
Job Interview Tips		40 KB
Job Safety and Health: It's the Law (Occupational Safety and Health Act/OSHA)			U.S. Department of Labor's required poster under the Occupational Safety and Health Act (OSHA). Covered employers in states with an OSHA-approved state plan may be required to post a state version of the OSHA poster. There is a separate poster for Federal agencies. This poster is available in other languages.
Job-hunting tips for finding the right job		268 KB

L

Name	Format	Size	Description
Labor Force Diversity Data Book New		1.5 MB	This is the latest Labor Force Diversity Data Book published by the Louisiana Workforce Commission's Research and Statistics Division.
Labor Force Diversity Data Book Archives	HTML		This provides access to the list of archived Labor Force Diversity Data Books.
Letter of Credit		20 KB	Irrevocable Letter of Credit
Local Area Unemployment Statistics Overview New		242 KB	View Local Area Unemployment Statistics (LAUS) Overview
Local Workforce Development Area Regional/Local Plans New	HTML		View Local Workforce Development Area Regional/Local Plans by RLMA.
Lottery Letter of Good Standing-Retailer Application New		96 KB	This form is used to request a letter of good standing for the lottery
Louisiana Licensing Guide		1.4 MB	View the Louisiana Licensing Guide book with licensing information for occupations and businesses
Louisiana Revised Statutes: Minors	HTML		A listing of all sections in Louisiana's Child Labor Law and the corresponding links to the law as posted on the Louisiana Legislature's Web site
Louisiana Unemployment Insurance Tax Rates			In-depth information and schedules regarding UI tax rates
Louisiana WOTC Home Page	Web Application		Registration and Entry page to submit WOTC Applications
LWC - Certificate Of Attendance			Louisiana Workforce Commission - Certificate of Attendance for Unemployment Insurance while receiving training.
LWC - Form 130 Approved Training			LWC - 130 UI - Louisiana Workforce Commission Form for approved training while receiving Unemployment Insurance.
LWDA, WIB & LAC - Contact List New		92 KB	Local Workforce Development Area, Workforce Investment Board & Local Area Coordinator - List of Contacts

M

Name	Format	Size	Description
Medical Exams & Drug Tests Law		39 KB	Prohibition against requiring employees to pay for medical and other examinations (R.S. 23:897 & R.S. 23:634.B)
Mileage Reimbursement		97 KB
Minor Labor Law State Mandated Poster (Legal/Black and White)		127 KB	Minor Labor Law State Mandated Poster (Black and White)
Minor Labor Law State Mandated Poster (Legal/Color)		131 KB	Minor Labor Law State Mandated Poster (Color)
Monthly Employment Bulletin New		2.2 MB	This is the latest publication of monthly statistics for Louisiana and eight Metropolitan Statistical Areas in Louisiana. Publication data: nonfarm employment, civilian labor force, average hours and earnings, and unemployment insurance activities.
Monthly Employment Bulletin Archives	HTML	568KB	This provides access to the list of archived Monthly Employment Bulletins.
Monthly Employment Statistics	HTML		This provides access to the list of archived Monthly Employment Statistics press releases.
Motion for Recognition of Right to Soc. Sec. Offset - Form 1005a		18 kb	LWC-WC 1005A - Form used by the employer/insurer to request recognition of right to take an offset for social security benefits (Workers' compensation)
Multi-State, Offshore, & Overseas Liable State Determination		51 KB	Test to determine to which state(s) employee wages must be reported.
Multiple Worksite Report		319 KB	BLS 3020 - Multiple Worksite Report

N

Name	Format	Size	Description
National Guard (ESGR) State Mandated Poster (Letter Color)		2.8 MB	National Guard State Mandated Poster (Letter/Color)
No Finds List Request Form New		286 KB	Complete this form and upload into the Documents Section of the HiRE Provider Profile.
NonFarm Wage and Salary Employment by NAICS Codes	HTML		NonFarm Wage and Salary Employment by NAICS Codes
Notice of Claim with Second Injury Fund		37 KB	SIB Form A - Form to be completed and submitted by the insurer, self-insured employer, or third party administrator, along with documentation listed on the form with each new claim filed
Notice of Payment - Form 1002		165 KB	LWC-WC 1002 - Form to be completed by the Employer/Insurer and sent to the injured employee.
Notice to All Employees Working on Federal or Federally Financed Construction Projects (Davis-Bacon Act)			U.S. Department of Labor’s required poster for employers performing work covered by the labor standards of the Davis-Bacon and Related Acts.
Notification of Employee Rights Under Federal Labor Laws			U.S. Department of Labor's required poster to inform employees of their rights under the National Labor Relations Act (NLRA), the primary law governing relations between unions and employers in the private sector. See 29 CFR Part 471.

O

Name	Format	Size	Description
Occupation Quick Search from O*Net OnLine	HTML		Find details about an occupation
Occupational Employment Statistics Overview New		244 KB	View Occupational Employment Statistics (OES) Overview
Occupational Employment Survey Technical Notes	HTML		Occupational Employment Survey Technical Notes on the Bureau of Labor Statistics website
Occupational Employment Wage Survey	HTML		This is the latest Occupational Employment Wage Survey published by the Louisiana Workforce Commission's Research and Statistics Division.
Occupational Employment Wage Survey Archives	HTML		This provides access to the list of archived Occupational Employment Wage Survey's.
Occupational Fatality Rate LA 2013		72 KB	Occupational Fatality Rates for Louisiana 2013
Occupational Fatality Rate LA 2014	HTML		Occupational Fatality Rates for Louisiana 2014
Occupational Fatality Rate LA 2015	HTML		Occupational Fatality Rates for Louisiana 2015
Occupational Fatality Rate LA 2016	HTML		Occupational Fatality Rates for Louisiana 2016
Occupational Fatality Rate LA 2017	HTML		Occupational Fatality Rates for Louisiana 2017
Occupational Fatality Rate LA 2018 New	HTML		Occupational Fatality Rates for Louisiana 2018
Occupational Safety and Health Statistics Overview New		261 KB	View Occupational Safety and Health Statistics (OSHS) Overview
OES Survey Overview	HTML		OES Survey Overview
One-Stop System Operator Region 5 RFP New		2.9 MB	The operator will provide assistance of the workforce system and will ensure compliance with Federal, State and local policies.
Order Recognizing Right to Soc. Sec. Offset - Form 1005b		19 kb	LWC-WC 1005B - Order signed by the workers’ compensation judge recognizing entitlement to a social security offset
OSH-Census of Fatal Occupational Injuries (CFOI)	HTML		Information on the rate and number of work-related fatalities, and how these statistics vary by incident, industry, geography, occupation, and other characteristics.
OSHA Form 300 Instructions	Excel®		OSHA - 300 Log - OSHA 300, Log of Work-Related Injuries and Illnesses, Input Instructions Using Microsoft Excel).
OSHA Forms	Excel®	152 KB	OSHA Form 300, OSHA Form 300A, OSHA Form 301
Out-of-State Motor Vehicles State Mandated Posters (Letter/Black and White)		54 KB	Out-of-State Motor Vehicles State Mandated Posters (Letter/Black and White)
Out-of-State Motor Vehicles State Mandated Posters (Letter/Color)		77 KB	Out-of-State Motor Vehicles State Mandated Posters (Letter/Color)
OWC District Boundaries		16 KB	OWC District Boundaries
OWC Employee Authorization Form		118 KB	OWC Employee Authorization Form
OWC Record Request Form		127 KB	OWC Record Request Form
OWCA Annual Reports Menu	HTML		This Workers' Compensation page provides annual statistics including reports and supplements.

P

Name	Format	Size	Description
P & I Form		157 kb	SIB Form B - Form submitted with each request for reimbursement from the Second Injury Board
Pagos de Salarios a su Debido Tiempo		96 KB	Pagos de Salarios a su Debido Tiempo
Parish Codes for Louisiana		6 KB	Listing of codes assigned to each parish
Pay Transparency Nondiscrimination Provision (41 CFR Part 60-1.35)			U.S. Department of Labor’s required poster for certain federal contractors prohibiting discrimination against inquiring, discussing, or disclosing pay.
Pay Transparency Nondiscrimination Provision (41 CFR Part 60-1.35) [Spanish]			U.S. Department of Labor’s required poster for certain federal contractors prohibiting discrimination against inquiring, discussing, or disclosing pay.
Physician Choice Form		146 KB	LWC-WC 1121 - Form to be completed by the injured worker when selecting their physician of choice
Power of Attorney Form New		88 KB	This form is used to add or revoke power of attorney in tax and/or benefit mattters.
Preparing a Résumé		118 KB
Professional Employer Organizations Registration Form & Surety Bond		61 KB	PEO Registration form must be completed by all PEO companies
Prohibition To Passing On Certain Costs to Employees		39 KB	R.S. 23:897 & 23:634 which defines the conditions by which certain costs may be recouped from employees
Projections - Defining Demand Occupations		19 KB	Clarifies the criteria used to create the above list of demand occupations.

Q

Name	Format	Size	Description
Quarterly Census of Employment and Wages Overview New		237 KB	View Quarterly Census of Employment and Wages (QCEW) Overview
Quarterly Report of Injury/Illness	Web Application		LWC-WC 1017A - Quarterly Report of Injury/Illness

R

Name	Format	Size	Description
Rapid Response - List of Services	HTML		Rapid Response - List of Services
Registered Apprenticeship and Community Colleges		144 KB	Registered Apprenticeship and Community Colleges Brochure
Registered Apprenticeship for Businesses		197 KB	Registered Apprenticeship for Businesses Brochure
Registered Apprenticeship for Guidance Counselors		196 KB	Registered Apprenticeship for Guidance Counselors Brochure
Registered Apprenticeship for Parents		213 KB	Registered Apprenticeship for Parents Brochure
Registered Apprenticeship for Youth		265 KB	Registered Apprenticeship for Youth Brochure
Registered Apprenticeship Tax Credit Certification Form		210 KB	LWC Registered Apprenticeship Tax Credit Certification Form
Registered Apprenticeship Tax Credit Guide		338 KB	LWC Registered Apprenticeship Tax Credit Guide
Registration for Domestic Wage Filing		26 KB	Form for domestic services ONLY - used to elect to report and pay UI contributions either quarterly or annually
Rehabilitation Services		19 KB	Louisiana Maximum Fee Schedule, Chapter 7. Rehabilitation Services. Establishes guidelines for the rehabilitation of occupationally disabled employees
Reinstating a Registered Apprenticeship New		105 KB	Steps to Reinstating a Registered Apprenticeship Program.
REPORTE MENSUAL DE GANANCIAS DEL EMPLEADO		78KB	LWC-WC 1020 (en Español) - REPORTE MENSUAL DE GANANCIAS DEL EMPLEADO
Request for Compromise or Lump Sum Settlement		59 kb	LWC-WC 1011 - Form filed with OWCA to request the review and approval of a compromise or lump sum settlement agreement
Request for Duplicate Unemployment Insurance Documents		58 KB	Form for employer's use in requesting copies of previously mailed UI documents and/or copies of previously filed UI Tax documents for a charge
Request for Independent Medical Exam - Form 1015		41 kb	LWC-WC 1015 - Form to be completed by party requesting an Independent Medical Examination (IME)
Request for Recertification		51 KB	Form used to request a proof of credit which states the wages, rate and unemployment tax contributions made by an employer for a specific year and whether these contributions were paid before or after January 31 of a specific year
Request for Social Security Benefits Information			LWC-WC 1004 - Form used to gather information from the Social Security Administration and to calculate the amount of any offset (Workers' compensation)
Request for Waiver of Payment of Advance Costs		113 KB	LWC-WC 1027 - Form used to determine whether the financial status of an injured worker warrants the waiver of payment of any advanced costs when filing claims (Workers' compensation)
Request of authorization/carrier or self insured employer response - Form 1010		354 KB	LWC-WC 1010 - Request of authorization/carrier or self insured employer response
Request of authorization/carrier or self insured employer response - Form 1010	Excel®	322 KB	LWC-WC 1010 - Request of authorization/carrier or self insured employer response
Required Notification to Separating Employees of Availability of Unemployment Compensation New		233 KB	This handout can be used by employers to fulfill the requirement to inform all separating employees of the availability of unemployment compensation.
Research and Statistics Overview New		217 KB	View Research and Statistics (R&S) Overview
Rights and Responsibilities in Workers' Compensation New	HTML		Answers to the most frequently asked questions and concerns from employees and employers relating to Louisiana's workers' compensation entitlement and procedures.
Rights and Responsibilities in Workers' Compensation New		177 KB	Rights And Responsibilities in Workers' Compensation for employees and employers relating to Louisiana's workers' compensation entitlement and procedures.
Rules for UI Appeals & Employment Security Law		73 KB	Louisiana laws regulating the unemployment compensation system including Administrative Rules outlining the appeal process for unemployment claims

S

Name	Format	Size	Description
Safety Requirements		24 KB	Guidelines for implementing a working and occupational safety plan
Sample Contract		6 KB	Sample Medical Exam & Drug Test Contract (For Employers)
Sample Wage Contract		5 KB	Required contract to recoup costs of medical examinations and drug tests.
Second Injury Board Knowledge Questionnaire		114 KB	Second Injury Board Knowledge Questionnaire
Second Injury Board Knowledge Questionnaire - Spanish		120 KB	Second Injury Board Knowledge Questionnaire - Spanish
Second Injury Board Meeting Schedule		9 KB	Meeting dates and deadlines for Second Injury Board meetings
Second Injury Board Mtg. Agenda New	HTML		Agenda for the Second Injury Board that meets the first Thursday of every month
Second Injury Fund		153 KB	Rules of Practice and Procedures
Second Injury Fund		26 KB	SIF Brochure - Brochure explaining the basic operation of the Second Injury Board
Secretary of State Clearance Affidavits New			This form is used to request a secretary of state clearance. You must have filed for withdrawal from the secretary of state's office before returning the affidavit.
Security Agreement for Certificate of Deposit		37 KB	Documentation outlining conditions and containing required forms.
Self-Insurer Application		57 kb	LWC-WC 2005 - Application form to be completed by employers wishing to become a self-insured entity (Workers' compensation)
Self-Insurer Application Checklist		84 kb	LWC-WC 2005 - Checklist - List of items necessary when submitting application to become self-insured (Workers' compensation)
Separation Notice	HTML		LWC-77 - Separation Notice from employment
Service Company Application		115 kb	LWC-WC 2007 - Application filed by companies requesting to operate as third party administrators in the state of Louisiana (Workers' compensation)
Service Company Application Checklist		22 KB	LWC-WC 2007 - Checklist - Checklist of items necessary when submitting an application in order to process workers’ compensation claims in Louisiana
Settlement Evaluation		29 KB	Form submitted to the Second Injury Board for approval of a settlement on a claimant who is receiving supplemental earnings benefits
Settlement Evaluation - Permanent and Total		31 KB	Form submitted to the Second Injury Board for approval of a settlement on a claimant who has been declared permanently and totally disabled
Sickle Cell State Poster (Letter/Black and White)		51 KB	Sickle Cell State Poster (Letter/Black and White)
Sickle Cell State Poster (Letter/Color)		74 KB	Sickle Cell State Poster (Letter/Color)
Small Business Training Overview and FAQs		513 KB	Information on Small Business Training Process
Special Reimbursement Reconsideration Appeal Form		27 KB	LWC-WC 3000 - Form to be completed by medical provider when requesting reimbursement reconsideration appeal
Sponsor Application for Veteran Training		269 KB	Sponsor Application for Veteran Training
Standard Occupational Classification (SOC) 2018	HTML
State of Louisiana Indemnity & Guaranty Agreement		20 KB	Legal document necessary to guarantee the self-insured’s obligation to pay indemnity benefits (Workers' compensation)
Status Report	HTML		Application for an Unemployment Insurance Account Number
Stop Payment - Form 1003		54 KB	LWC-WC 1003 - Form is sent by the Employer/Insurer to the injured workers and OWCA.
Strategic Plan - July 1, 2020 through June 30, 2025		430 KB	This document outlines LWC's committimant to connect great employees with great companies by equipping Louisiana residents with all the tools they need to succeed.
Student Data Certification Statement New		445 KB	Student data will not be processed by LWCprior to receipt of this Certification form.
Student Data Security Awareness Form New		493 KB	Complete this form and upload into the Documents Section of the HiRE Provider Profile.
Student Data Spreadsheet New	XLS	17 KB	Form used to email Private Provider sutdent Data to LWC.
Subpoena & Subpoena Duces Tecum - Form 1006		107KB	LWC-WC 1006 - Series of forms issued to compel an individual to appear for a deposition or to give testimony, or to produce documentation (Workers' compensation)
Summary of State Fatalities by Calendar Year for 2003 - 2005	HTML
Surety Bond		8 KB	Legal document necessary when making application to become self-insured (Workers' compensation)
Survey of Occupational Injuries and Illnesses (SOII)	HTML
Suta Dumping	Powerpoint®	76 KB	Power Point Presentation on Suta Dumping

T

Name	Format	Size	Description
The Cover Letter		122 KB
The Registered Apprenticeship Advantage		261 KB	The Registered Apprenticeship Advantage Brochure
Timely Payment of Wages		91 KB	Timely Payment of Wages
Tips for Employing Minors Brochure New		314 KB

U

Name	Format	Size	Description
Unemployment Insurance (UI) Claims Data	HTML		Statewide weekly claims for Unemployment Insurance (UI)
Unemployment Insurance Employer Tax Guide		103 KB	Guide to answer Louisiana UI Tax questions.
Unemployment Insurance Federal Tax Withholding			LWC-ES 494 - Unemployment Insurance Claimants Federal Income Tax Withholding Program
Unemployment Insurance Poster (Letter/Black and White)		58 KB	Unemployment Insurance Poster (Letter/Black and White)
Unemployment Insurance Poster (Letter/Color)		81 KB	Unemployment Insurance Poster (Letter/Color)
Unemployment Insurance Tax Excess Wages		23 KB	Example For Computing Excess And Taxable Wages
Unemployment Rate Press Release Schedule		31 KB	This is the latest Employment Rate Press Release Schedule published by the Louisiana Workforce Commission's Research and Statistics Division.
USDOL Program brochure
Utilization Review Contacts New		72 KB

V

Name	Format	Size	Description
Volunteer Income Tax Assistance		24 KB

W

Name	Format	Size	Description
WARN Fact Sheet	HTML		WARN Fact Sheet
WARN Notice - Sample Letter	HTML		WARN Notice - Sample Letter
WARN Notices 2007		25 KB	WARN Notices 2007
WARN Notices 2008		50 KB	WARN Notices 2008
WARN Notices 2009		61 KB	WARN Notices 2009
WARN Notices 2010		67 KB	WARN Notices 2010
WARN Notices 2011		71 KB	WARN Notices 2011
WARN Notices 2012		62 KB	WARN Notices 2012
WARN Notices 2013		52 KB	WARN Notices 2013
WARN Notices 2014		73 KB	WARN Notices 2014
WARN Notices 2015		75 KB	WARN Notices 2015
WARN Notices 2016		80 KB	WARN Notices 2016
WARN Notices 2017		106 KB	WARN Notices 2017
WARN Notices 2018		86 KB	WARN Notices 2018
WARN Notices 2019		113 KB	WARN Notices 2019
WARN Notices 2020		206 KB	WARN Notices 2020
WARN Notices 2021 New		207 KB	WARN Notices 2021
Warning Signs of Workers' Compensation Fraud		30 KB	Outlines signs of Workers' Compensation Fraud
What is Workers' Compensation Fraud		87 KB	Defines Workers' Compensation Fraud
Whistleblower Protection Poster for Public Employees		37 KB	Whistleblower Protection Poster for Public Employees
WIOA Eligible Training Provider Manual		3.6 MB	Manual developed to aid representatives from schools and Local Workforce Investment Boards to utilize the Louisiana Occupational Information System on line application for program eligibility required under the Workforce Investment and Opportunity Act. Some items included in the manual are FAQs, Internet access instructions, examples of Web displays and technical tips.
WIOA Student Data Certification Statement		445 KB	Form required from educational training providers that are applying for WIOA program eligibility, certifying that the student data provided for performance calculations is true and correct to the best of their knowledge
WIOA_ETPL - Manual New		2.9 MB	Manual developed to aid representatives from schools and Local Workforce Investment Boards to utilize the Louisiana Occupational Information System on line application for program eligibility required under the Workforce Investment and Opportunity Act. Some items included in the manual are FAQs, Internet access instructions, examples of Web displays and technical tips.
WIOA_ETPL - Navigating HiRE, FAQs, 2020 Reapplication with Recording New		1.5 MB
WIOA_ETPL - Reapplication Steps New		887 KB	Outlines the steps necessary to reapply for the ETPL, required documentation and student data requirements.
WIOA_ETPL Manual - Chapter 8 Revision New		2.2 MB	HiRE System Users Guide
Work Opportunity Tax Credit		59 KB	Work Opportunity Tax Credit
Workers Compensation Records Request Form		127 KB	LWC-WC 1150 - Form used to make a Workers Compensation Records Request
Workers' Claim Information for Unemployment Insurance		46 KB	LWC-87W
Workers' Compensation Poster (Letter/Black and White)		240 kb	Workers' Compensation Poster (Letter/Black and White)
Workers' Compensation Poster (Letter/Color)		262 kb	Workers' Compensation Poster (Letter/Color)
Workforce Information Review New		9.3 MB	This is the latest Workforce Information Review published by the Louisiana Workforce Commission's Research and Statistics Division.
Workforce Information Review Archives	HTML		This provides access to the list of archived Workforce Information Review reports.
WOTC Federal Brochure 2013		171 KB	Work Opportunity Tax Credit Federal Brochure for 2013
WOTC Individual Characteristics New			ETA Form 9061 - Individual Characteristics
WOTC Pre-Screening Notice & Certification Request - Form New			IRS Form 8850
WOTC Pre-Screening Notice & Certification Request - Instructions		157 KB	IRS Form 8850 - Instructions
WOTC Submittal Facts		9 KB	Work Opportunity Tax Credit Submittal Facts

Y

Note: This revision date does not reflect the individual revision dates of the materials listed above, nor does it reflect the last time the listing was updated. Materials are updated on a regular basis and added to the list above as soon as they are made available.