MANDATORY Federal Coronavirus Leave Poster: New Families First Coronavirus Response Act Notice Must Be Posted By April 1, 2020.

Download Mandatory Poster Mandatory Coronavirus Paid Leave Poster | Optional Coronavirus Posters CDC Coronavirus Informational Posters

Pennsylvania Free Printable Labor Law Posters Posters Pennsylvania Form No. LIBC-500 (Rev 5-09) Workers' Compensation Insurance Posting Poster Required

 Form No. LIBC-500 (Rev 5-09) Workers' Compensation Insurance Posting PDF

The Form No. LIBC-500 (Rev 5-09) Workers' Compensation Insurance Posting is a labor law posters poster by the Pennsylvania Department Of Labor & Industry. This is a mandatory posting for all employers in Pennsylvania, and businesses who fail to comply may be subject to fines or sanctions.

This poster must be posted in a conspicuous place where all employees can see it. This poster is a form for applying for workers' compensation for if a worker is injured while working for an employer.


PA All-In-One Labor Poster: Instead of printing out dozens of posters, employers can also purchase an all-in-one poster that covers both Pennsylvania and Federal poster requirements by clicking here .

LIBC-500 REV 04-18	
REMEMBER: IT IS IMPORTANT 	
TO TELL YOUR EMPLOYER 	 	
ABOUT YOUR INJURY	
Auxiliary aids and services are available upon request to individuals wi\
th disabilities.	Equal Opportunity Employer/Program	
Any individual filing misleading or incomplete information knowingly and with the intent to defraud is in violation of Section 1102 of the Pennsylvania Workers’ Compensation Act, 	 	77 P.S. §1039.2, and may also be subject to criminal and civil penalties under 18 Pa. C.S.A. §4117 (relating to insurance fraud).	
*500*	
 Employer Information Claims Information Services  Hearing Impaired Email 	Services	 toll-free inside PA: 800.482.2383  PA Relay 7-1-1 [email protected]	 717.772.3702  local & outside PA: 717.772.4447 
The name, address and telephone number of your employer’s workers’ compensation insurance company, third-party administrator (TPA), or person handling workers’ compensation claims for your company, are shown below.
Employer Name:  Date Posted:
IF INSURED: IF SOMEONE OTHER THAN INSURER IS	 	(Complete all applicable spaces)	 HANDLING CLAIMS:	  (Complete all applicable spaces)
Name of Insurance Company: Name of TPA (Claims administrator):
Address: Address:
Telephone Number: Telephone Number:
Insurer Code:
IF SELF-INSURED  IF SOMEONE OTHER THAN SELF-INSURER IS 	 	
(Complete all applicable spaces)	 HANDLING CLAIMS:	
  (Complete all applicable spaces)
Name of person handling claims at Name of TPA (Claims administrator):
the self-insured:
Address: Address:
Telephone Number: Telephone Number:
Insurer Code:	
DEPARTMENT OF LABOR & INDUSTRYBUREAU OF WORKERS’ COMPENSATION

Other Pennsylvania Labor Law Posters 4 PDFS

There are an additional seventeen optional and mandatory Pennsylvania labor law posters that may be relevant to your business. Be sure to also print all relevant state labor law posters, as well as all mandatory federal labor law posters.


View all 18 Pennsylvania labor law posters


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Instead of printing out pages of mandatory Pennsylvania and Federal labor law posters, you can purchase a professional, laminated all-in-one labor law poster that guarantees compliance with all Pennsylvania and federal posting requirements. Fully updated for 2020!

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URGENT: Mandatory Coronavirus Paid Leave Poster (FFCRA)

As of April 1 2020, all employers in the United States with less than 500 employees MUST display or digitally distribute a Families First Coronavirus Response Act paid leave poster.

This poster describes new laws that mandate paid leave for employees affected by the COVID-19 / Coronavirus epidemic.

Purchase Bilingual Laminated Poster Print Free Poster
Official CDC Coronavirus Safety Posters:

The CDC has published several optional Coronavirus safety posters that are recommended for workplaces open during the pandemic.

Purchase Laminated Multi-Poster COVID-19 Notice Print Free COVID-19 Posters

Re-Open Safely - Get Social Distancing Floor Stickers

If your workplace or store is open to the public, you may be required by your state or locality to display adequate social distancing notices and markers. These professional floor decals can be used in store aisles, checkout lines, or high-traffic workplace areas.

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Disclaimer:

While we do our best to keep our list of Pennsylvania labor law posters up to date and complete, we cannot be held liable for errors or omissions. Is the poster on this page out-of-date or not working? Please let us know and we will fix it ASAP.

** This Document Provided By LaborPosters.org **
Source: http://www.laborposters.org/pennsylvania/296-workers-compensation-insurance-posting-poster.htm