The LS-202

The Department of Labor's LS-202 is used to report workplace injuries and illnesses. It must be submitted any time a worker's injury or illness leads to the loss of one or more shifts of work.  Whether or not the incident ultimately leads to lost time, immediate reporting to AEU is essential to achieve the best possible claims result.

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Download the LS-202

Completing the LS-202 can be a challenge. We're here to help.  

The video at the bottom of this page contains complete, step-by-step instructions for completing the LS-202 form.

Need help with the entire form? Follow along with the full 13-minute video and pause to complete each section as needed.

Have questions about a specific box on the form? Click the three horizontal lines in the bottom right corner of the video screen and navigate to the appropriate box number.