[ Forms Catalogue ] [ Forms List ] [ Help ]
|Title||Merchant Seaman Compensation Act - Report of Accident and Claim|
|Purpose||To report an accident and claim compensation under the MSCA.|
Returning the Form
This site uses PDF form technology. To print these high-quality PDF forms, you must have a PDF reader installed. If you do not already have such a reader, there are several available on the Internet : Adobe Reader and Foxit Reader The form(s) are available in the following formats.
THE MERCHANT SEAMEN COMPENSATION ACT, REPORT OF ACCIDENT AND CLAIM
PDF: ESDC-LAB1085, 336 KB, printed on 2 pages (8.5x14)
For more information, please consult the Forms Help page.