DLHWC SEA Portal

DLHWC Seaportal.pdf

Employer's First Report of Injury or Occupational Disease; Employer's Supplementary Report of Accident or Occupational Illness

DLHWC SEA Portal

OMB: 1240-0003

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DEPARTMENT OF LABOR
Office of Workers Compensation Program
Upload Document | Check Status | FAQs | About DLHWC

Division of Longshore & Harbor Workers’ Compensation (DLHWC)
Secure Electronic Access (SEA) Portal

Upload documents to case

Need to upload a document?

Enter the below information to locate the case.
Case Number*
Claimant Last Name*
Claimant Date of Birth*

mm/dd/yyyy

Date of Injury*

mm/dd/yyyy

SEA Portal

*All fields are required
NEXT

DLHWC’s SEA Portal allows stake holders to
upload documents such as request for
informal conferences, forms, and medical
reports to active DLHWC cases. You need
official DLHWC case number and other
identifying information to submit documents
using SEA Portal. Please see the Frequently
Asked Questions for more information on this
process.
Once uploaded, SEA Portal assigns a unique
document control number (DCN). You can use
the DCN number to check the status of the
document.
SEA Portal cannot be used to submit
documents for a case that has not been
created. If you are submitting a NEW claim (a
case number has not yet been assigned). You
must submit the LS-201, LS-202, LS-203 or LS262 to DLHWC’s central case create site in
New York city.

Case number is required.
Claimant Last Name is required.
Claimant Date of Birth is required.
Date of Injury is required.

@ 2014 U.S. Department of Labor All Rights Reserved.

DEPARTMENT OF LABOR
Office of Workers Compensation Program
Upload Document | Check Status | FAQs | About DLHWC

Division of Longshore & Harbor Workers’ Compensation (DLHWC)
Secure Electronic Access (SEA) Portal

Upload documents to case

Upload Instructions

Case Number
532407
Claimant Last Name Jones

Date of Injury
Date of Birth

 Do NOT upload claim forms for new
injuries if the case has not been created.
Submit claim forms to DLHWC central case
create site if a case needs to be created.

07/24/2014
06/21/1966

Follow the instructions carefully or your documents may not be processed.
CATEGORY

DOCUMENT

SEA Portal

DATE

SIZE

PAGES

ACTIONS

 Do NOT upload combined forms. Submit
forms individually, e.g. do not upload an
LS-206 with an LS-207 as part of the same
document; upload each individually.

ADD FILE
 Do NOT upload documents for the OALJ.
Submit them directly to the OALJ – visit
http://www.oalj.dol.gov for contact
information.

 Do Limit file size to 5MB.
 Do Limit number of pages to 50.
 Do Only upload TIF and PDF documents.

 Do NOT upload documents for the BRB.
Submit them directly to the BRB – visit
http://www.dol.gov/appeals/ for contact
information.

@ 2014 U.S. Department of Labor All Rights Reserved.

DEPARTMENT OF LABOR
Office of Workers Compensation Program
Upload Document | Check Status | FAQs | About DLHWC

Division of Longshore & Harbor Workers’ Compensation (DLHWC)

SEA Portal

Secure Electronic Access (SEA) Portal

Upload documents to case
Case Number
532407
Claimant Last Name Jones

Categories
Date of Injury
Date of Birth

 Informal Conference Request

07/24/2014
06/21/1966

 Formal Hearing Request (LS-18)
 Settlement Application (8i)

Follow the instructions carefully or your documents may not be processed.
CATEGORY

DOCUMENT

 Special Fund Application (8f)

DATE

SIZE

PAGES

ACTIONS

Other Correspondence

Johnson letter.pdf

09/09/2014

213K

9

Delete

Medical Reports

2SK45678903.pdf

09/09/2014

89K

2

Delete

 Privacy Act Request
 Longshore Forms
 Other Correspondence

ADD FILE

SUBMIT

@ 2014 U.S. Department of Labor All Rights Reserved.

 Medical Reports

DEPARTMENT OF LABOR
Office of Workers Compensation Program
Upload Document | Check Status | FAQs | About DLHWC

Division of Longshore & Harbor Workers’ Compensation (DLHWC)

SEA Portal

Secure Electronic Access (SEA) Portal

Upload documents to case
Case Number
532407
Claimant Last Name Jones

Categories
Date of Injury
Date of Birth

 Informal Conference Request

07/24/2014
06/21/1966

 Formal Hearing Request (LS-18)
 Settlement Application (8i)

Your documents have been submitted and status can be checked by using the DCN.
CATEGORY

DOCUMENT

DATE

SIZE

PAGES

DCN

Other Correspondence

Johnson letter.pdf

09/09/2014

213K

9

2392432819

Medical Reports

2SK45678903.pdf

09/09/2014

89K

2

2392432820

 Special Fund Application (8f)
 Privacy Act Request
 Longshore Forms
 Other Correspondence

@ 2014 U.S. Department of Labor All Rights Reserved.

 Medical Reports

DEPARTMENT OF LABOR
Office of Workers Compensation Program
Upload Document | Check Status | FAQs | About DLHWC

Division of Longshore & Harbor Workers’ Compensation (DLHWC)
Secure Electronic Access (SEA) Portal

Check Document Status

Checking the document status?

Enter the DCN of your document and submit your request.

DCN

SEA Portal

239432819

SUBMIT

@ 2014 U.S. Department of Labor All Rights Reserved.

Received
Your document has been received by the
system and it’s waiting to be processed.
Processed
Your document has been processed and it has
been placed in the case.

DEPARTMENT OF LABOR
Office of Workers Compensation Program
Upload Document | Check Status | FAQs | About DLHWC

Division of Longshore & Harbor Workers’ Compensation (DLHWC)
Secure Electronic Access (SEA) Portal

Check Document Status

Checking the document status?

Enter the DCN of your document and submit your request.

DCN

Received
Your document has been received by the
system and it’s waiting to be processed.

239432819

Processed
Your document has been processed and it has
been placed in the case.

SUBMIT

CATEGORY
Other Correspondence

DOCUMENT
Johnson letter.pdf

SEA Portal

DATE

STATUS

DCN

09/09/2014

Received

2392432819

@ 2014 U.S. Department of Labor All Rights Reserved.


File Typeapplication/pdf
File TitleSlide 1
AuthorSony Customer
File Modified2014-09-10
File Created2014-09-09

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