Publications and Forms
A claim to be filed regarding a payment to the estate of an Air Ambulance Pilot, an Air Ambulance Registered Professional Nurse, an Emergency Medical Technician, a Firefighter, or a Law Enforcement Officer who was killed in the line of duty.
Un folleto delineando hechos para los trabajadores lesionados en materia de indemnización de los trabajadores en Missouri.
A visual chart showing the number of weeks of compensation payable for permanent partial disabilities.
A form outlining eligibility guidelines for the Second Injury Fund.
A brochure outlining facts for injured workers regarding workers’ compensation in Missouri.
A form used to report a group trust members name and/or address change.
A sample indemnity agreement that may be used as a reference when forming a new group trust.
Link to International Association of Industrial Accident Boards and Commissions' site
An Irrevocable Letter of Credit; one of three options available to meet the self-insurance security requirement. Must be accompanied by the Authorization for Release of Confidential Information (WC-249-3)
