Fillable Form LS 202 (2020)

The Form LS-202, also known as the Employer’s First Report of Injury or Occupational Illness. Under Section 30(a) of the Act, an employer must file a report within 10 days of the date of any injury which causes loss of one or more shifts of work, or death (or from the date that the employer has knowledge of a disease, or infection as a result of such injury).