Google Translate

Search by form number, title, or keyword

Publications and Forms

Self-Insurer’s Report of Compensation Payments (WC-86)

An annual report of an individually self-insured employer’s Missouri compensation payments for the prior calendar year.

Self-Insurer’s Statement of Outstanding Losses (WC-83)

An annual report of an individually self-insured employer’s outstanding losses.

Stipulation for Compromise Settlement (WC-G-11)

A form submitted to an Administration Law Judge for approval of the settlement of a workers' compensation case.

Substitution of Counsel (WC-237)

A request for substitution of counsel in a workers' compensation case.

Surplus Distribution Request (WC-265)

A form requesting authority to distribute surplus monies of a self-insured group trust.

Trust Quick Reference Due Dates (WC-193)

A quick reference for group trust reporting requirements.

Verification of Rehabilitation Treatment (WCR-4A)

A form to be completed by a health care provider in regards to verifying rehabilitation treatment.

Workers' Compensation Subpoena (WC-25-AI)

A subpoena for a workers compensation case requiring the attendance of an individual at a hearing.

Workers' Compensation Subpoena Duces Tecum (WC-25-A-AI)

A subpoena for a workers compensation case requiring the attendance of an individual—along with specified documents or other evidence—at a hearing.

Workers' Compensation Subpoena Duces Tecum For Deposition (WC-25-C-AI)

A subpoena for a workers compensation case requiring the attendance of an individual—along with specified documents or other evidence—at a deposition.

Pages