Employee Benefits Security Administration

U.S.

Official Website: https://www.dol.gov/agencies/ebsa

The Employee Benefits Security Administration (EBSA) offers information and assistance on employer-sponsored retirement benefit and health benefit plans.

Forms & Documents

Browse all Employee Benefits Security Administration government forms

61 - 80 of 158 forms

Form Title Topics
DFE/Participating Plan Information - 2019
DFE/Participating Plan Information-2020
Domestic Agricultural In-season Wage Finding Process
Domestic Agricultural In- Season Wage Report
Duty Status Report
Employee's Claim for Compensation
Employer-Provided Survey Attestations to Accompany H-2B Prevailing Wage Determination Request Based on a Non-OES Survey
Employers’ Attestation to Use Alien Crewmembers for Longshore Activities in the State of Alaska
Employers’ Attestation to Use Alien Crewmembers for Longshore Activities in U.S. Ports Form ETA 9033
Employer's First Report of Injury or Occupational Illness
Employer's Supplementary Report of Accident or Occupational Illness
Employment History
Employment History Affidavit
EPPA Notice to Examinee
Evidence Required in Support of a Claim for Occupational Disease
Federal Notice of Traumatic Injury and Claim for Continuation of Pay/Compensation
Financial Information
Financial Information-2016
Financial Information-2017
Financial Information-2018

Contact Information & Office Locations

61 - 64 of 64 contact points

Washington DC - Matthew Gisler - Acting

Address:
1335 East-West Hwy
Suite 200
Silver Spring, MD 20910

Phone numbers:
  • (202) 693-8700
Fax numbers:
  • (202) 693-8736

West Virginia

Address:
Washington District Office
1335 East-West Hwy
Ste 200
Silver Spring, MD 20910

Phone numbers:
  • (202) 693-8700
Fax numbers:
  • (202) 693-8736

Wisconsin

Address:
Chicago Regional Office
John C. Kluczynski Federal Bldg
230 S. Dearborn Street
Ste 2160
Chicago, IL 60604

Phone numbers:
  • (312) 353-0900
Fax numbers:
  • (312) 353-1023

Wyoming

Address:
Kansas City Regional Office
2300 Main St,
Ste 1100
Kansas City, MO 64108

Phone numbers:
  • (816) 285-1800
Fax numbers:
  • (816) 285-1888

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