
Forms | U.S. Department of Labor
Submit forms online through the Employees' Compensation Operations and Management Portal (ECOMP). On the ECOMP site you can register for an account, initiate a claim, upload documents, …
Forms - U.S. Department of Labor
These are the most frequently requested U.S. Department of Labor forms. You can complete some forms online, while you can download and print all others.
Workers' Compensation - U.S. Department of Labor
Individuals injured on the job while employed by private companies or state and local government agencies should contact their state workers' compensation board. The Department of Labor has …
Longshore Forms - U.S. Department of Labor
All of the Longshore Program's online forms (with the exception of Forms LS-241 and LS-242) are available to print and to manually fill and submit. Simply click on the appropriate form and print it …
Online Forms | U.S. Department of Labor
All of the DEEOIC online forms are available to print and then manually fill and submit. Simply click on the appropriate form and print it using your internet browser’s print function.
Claimant Reimbursement Forms | OFFICE OF WORKERS' …
Due to Executive Order 14247, beginning September 30, 2025, all providers enrolled in the Department of Labor (DOL) Office of Workers’ Compensation Programs must comply with the U.S. Treasury's …
It is recommended (but not required) to have your provider complete a HCFA 1500 form. This form can be submitted along with your 915 to ensure your bill is coded correctly and you are reimbursed for …
ECOMP - U.S. Department of Labor
ECOMP is a free web-based application. For an instructional video and further guidance on registering for an account, click here. You do not need approval from your supervisor or anyone else at your …
Claimant/Injured Worker Page - U.S. Department of Labor
File a written claim for compensation on Form LS-203 within one year after the date of injury or last payment of compensation, whichever is later. A claim for survivor benefits must be filed within one …
Federal Employees' Compensation Program - U.S. Department of Labor
The Division of Federal Employees' Compensation adjudicates new claims for benefits and manages ongoing cases; pays medical expenses and compensation benefits to injured workers and survivors; …