Justification for Nonsubstantive Change to LS-202 Form

Justification for No material Nonsubtantive Change Request - 1240-0003 LS-202_MN clean.docx

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

Justification for Nonsubstantive Change to LS-202 Form

OMB: 1240-0003