LS-7 Request for Intervention – Fillable PDF Form

The LS-7 Request for Intervention is the official form used by the U.S. Department of Labor to request a formal intervention in a Longshore and Harbor Workers' Compensation claim. With Formize you can fill out this form entirely online—no Adobe Acrobat needed.

What Is the LS-7 Form?

The LS-7 captures essential details about the claimant, the employer, and the specific issue that requires intervention. It is typically filed when a stakeholder believes a claim has been mishandled or when additional evidence is needed.

How to Fill Out the LS-7 Online

Simply click the Fill out this form button on this page. The Formize PDF Filler will load the fillable LS-7 PDF, and you can start entering information immediately.

• Step 1: Click the “Fill out this form” button.
• Step 2: Wait a few seconds while the Formize PDF Filler app loads.
• Step 3: Complete each field—text boxes, checkboxes, and signature area.
• Step 4: Review your entries for accuracy.
• Step 5: Click “Submit” to download the completed PDF or email it directly to the Department of Labor.

Common Mistakes to Avoid

• Leaving required fields blank—most fields are marked with an asterisk (*).
• Using abbreviations that are not recognized by the Department of Labor.
• Submitting an unsigned form; the signature field is mandatory.
• Uploading an outdated version of the LS-7. Always use the latest PDF provided below.

Where to Submit Your Completed LS-7

After you have saved the completed PDF, email it to the appropriate regional Office of the Department of Labor or upload it through the agency’s online portal. Keep a copy for your records.

Download the LS-7 PDF

If you prefer to work offline, you can download the official LS-7 PDF using the link below. The file is fully fillable and compatible with Formize’s online editor.

Download LS-7 Request for Intervention PDF