U.S. Department of Labor Office of Workers’ Compensation Programs 

Division of Longshore and Harbor Workers' 

Compensation

Washington, D.C. 20210

 

November 14, 2013

INDUSTRY NOTICE No. 144

TO: INSURANCE CARRIERS, SELF-INSURED EMPLOYERS, LONGSHORE EMPLOYERS, 

LONGSHORE CLAIMANTS, AND OTHER INTERESTED PERSONS

SUBJECT: NEW ADDRESSES FOR CORRESPONDING WITH OWCP, DLHWC ON CASESPECIFIC MATTERS EFFECTIVE DECEMBER 2, 2013

To aid in the efficient administration of the Longshore and Harbor Workers’ Compensation 

Act (LHWCA), and its extensions, the Director hereby notifies all parties of important 

changes that are effective December 2, 2013. 

1. The New York City DLHWC District Office will assign OWCP case numbers to all new 

cases, regardless of the location of the injury or the claimant’s home address. The New 

York City office is thus designated as the “Central Case Create” site. Unless a case number 

has already been assigned, you should submit the following forms to the Central Case 

Create site at the address listed below for creation of a new case: 

• LS-201 (Notice of Employee’s Injury or Death)

• LS-202 (Employer’s First Report of Injury or Occupational Illness) 

• LS-203 (Employee’s Claim for Compensation)

• LS-262 (Claim for Death Benefits) 

U. S. Department of Labor

Office of Workers’ Compensation Programs

Division of Longshore and Harbor Workers’ Compensation

201 Varick Street, Room 740

Post Office Box 249

New York, NY 10014-0249

FAX (646) 264-3002

2. After a case has been created, all case-specific mail should be sent to the 

Jacksonville DLHWC District Office at the address listed below for processing, even if 

another district office is administering the claim. The Jacksonville office is thus designated 

as the “Central Mail Receipt” site. No mail for any case should be sent to any other district 

office. This applies to all cases in existence on December 2, 2013 and all new cases created 

after that date. 

U. S. Department of Labor

Office of Workers’ Compensation Programs

Division of Longshore and Harbor Workers’ Compensation

400 West Bay Street, Suite 63A, Box 28

Jacksonville, FL 32202

FAX (904) 357-4787 

3. No changes are being made in the other district offices. 
4. Exceptions – The following documents should NOT be submitted to the Central Case 

Create or Central Mail Receipt sites. Instead, please submit them to the DLHWC Chief –

Branch of Financial Management, Insurance and Assessments, Washington, DC at the 

address specified below.

a. Checks. Checks (e.g. those submitted for deposit to the Special Fund or in 

response to penalties) should no longer be submitted to the district offices; 

this is a change from past practice. Instead, please submit all checks to the 

Branch of Financial Management, which will receive and process them and 

notify the applicable district office accordingly. If the check is submitted in 

reference to a specific case, the check should contain the injured worker’s 

name and case number. A copy of the district office letter or the 

compensation order should also be submitted with the check. 

b. Inquiries, forms, and other documents concerning self-insurance 

authorizations, insurance carrier authorizations, security deposits, and special

fund assessments should continue to be addressed to the DLHWC Chief –

Branch of Financial Management, Insurance and Assessments.

U. S. Department of Labor

Office of Workers’ Compensation Programs

Division of Longshore and Harbor Workers’ Compensation

Branch of Financial Management, Insurance and Assessments

200 Constitution Avenue, Room C-4319

Washington, DC 20210

5. Guidelines for Submission of Documents. To facilitate efficient and timely 

processing, please adhere to the following guidelines when submitting documents.

a. Complete all fields on the form legibly, and include the Employer and Carrier 

Number, if known, on forms submitted to the Case Create Site.

b. Submit only one copy of a document or form such as an LS-202, LS-203, LS206, LS-207, LS-208, 8(f) application or 8(i) application.

c. Reference the OWCP File Number on every page of the document.

d. Use standard sized paper (8 1⁄2 x 11), with no extending labels or tabs to 

separate the document parts (such as exhibits or attachments). If a receipt or 

picture is small, copy it on to or tape it to letter size paper.

e. Avoid the use of colored paper and colored ink.

f. A single document should not reference multiple individuals. In order to 

protect Personally Identifiable Information (PII), documents cannot be 

included in the OWCP case file if they reference multiple individuals. Each 

document should reference only one injured worker.

6. Stakeholders are encouraged to submit routine documents via mail and reserve 

submission via fax for urgent or time sensitive matters. Unless specifically requested, 

please avoid the practice of duplicate submissions, e.g. do not submit documents via mail 

and fax.
7. For specific questions or concerns related to a claim that you wish to convey orally, 

including questions pertaining to the creation of a case or the receipt of a document, contact 

the district office administering the claim for assistance. Please do not contact the Central 

Case Create or Central Mail Receipt site for assistance unless the claim is being managed by 

the New York or Jacksonville office, respectively.

8. Any general questions concerning this Industry Notice may be directed to the DLHWC 

Branch of Policy, Regulation and Procedures, Washington, DC. You may also visit our 

website (http://www.dol.gov/owcp/dlhwc/) to find a list of questions and answers related to 

this change. 

Antonio A. Rios

Director, Division of 

Longshore and Harbor Workers’ Compensation