OMB control number

Notice of Controversion of Right to Compensation

OMB 1240-0042 · DOL/OWCP.

OMB 1240-0042

Form LS-207 is used by insurance carriers and self-insured employers to controvert claims under the Longshore Act and extensions.

The latest form for Notice of Controversion of Right to Compensation expires 2027-08-31 and can be found here.

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