Workers' Compensation > Fraud > Report Non-Compliance Employers

Non-Compliance Employer's Reporting Form

If you suspect an employer doing business in Louisiana of not carrying the necessary workers' compensation insurance please complete the requested information below. Please click the Submit button at the bottom of the form when all the necessary information has been entered.



(*) Entry Required




  1. Character Count: (Max 200, remaining 200.)




  2. Character Count: (Max 200, remaining 200.)


  3. *
     No Worker's Compensation Coverage
     Business Underreporting Payroll
     Business Misclassifying Employees
     Other (Please explain)


  4. Character Count: (Max 200, remaining 200.)








  5. Character Count: (Max 200, remaining 200.)



  6. Character Count: (Max 200, remaining 200.)

If you have any other questions, please email WCFraud@lwc.la.gov or call toll-free 1-800-201-3362.