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Mar 18, 2018 · LWC-WC-1150 Revised 8/1/17 . WORKERS’ COMPENSATION RECORDS REQUEST FORM . Mail completed form to: Louisiana Workforce Commission Status of your records request: (Office use only.) OWCA Records Management Section Will be processed. 1001 N. 23rd Street Is being returned. See Section III, Page 2. This is called Proxy access and allows a caregiver or family member to log into his/her personal MyChart account, and then connect to information regarding a family member. A Proxy Application Form must be completed and returned to one of our medical facilities to request access to MyChart.
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