| Form No. | Title |
|---|---|
| (1) LS-271 | Application for Self-Insurance. |
| (2) LS-274 | Report of Injury Experience. |
| (3) LS-275 SI | Self-Insurer's Agreement and Undertaking. |
| (4) LS-275 IC | Insurance Carrier's Agreement and Undertaking. |
| (5) LS-276 | Application for Security Deposit Determination. |
| (6) LS-405 | Indemnity Bond. |
| (7) LS-570 | Card Report of Insurance. |